Refining an Arthroscopic Technique: Prepassing Braded, Nonabsorbable Sutures With Suture Passer Through the Rotator Cuff Tendon During Rotator Cuff Repair

In this Technical Note, the author presents a technique that enhances suture management efficiency for medium-to-large rotator cuff tears by prepassing Hi-Fi sutures (Hi-Fi Suture; ConMed) with a suture passer (Spectrum AutoPass Suture Passer; ConMed). This approach addresses 2 key challenges in arthroscopic surgery: it minimizes the tangling of sutures during anchor placement by prepassing sutures, and it streamlines the procedure by eliminating redundant suture-passing steps after medial-row anchor placement. This technique improves workflow, and smoother suture integration enhances the efficiency of medial-row repair while maintaining repair quality.