Editorial Commentary: Dermal Allograft Is an Ideal Augmentation for Rotator Cuff Repairs at Risk for Failure.

Rotator cuff repair outcomes remain inconsistent, with high retear rates, attributed to multiple risk factors including narrow acromiohumeral distance, elevated critical shoulder angle, larger tear dimensions, fatty infiltration, increased retraction of the torn tendons, and advanced patient age (>63-70 years). Since its introduction, the Rotator Cuff Healing Index, which has been externally validated, is a useful tool for systematic risk stratification that can help guide clinical decision-making, though it should complement rather than supersede surgical judgment.