Transfer in Posterior and Superior Cuff Lesions: Arthroscopic Surgical Technique

In our surgical technique the patient is placed in lateral decubitus position. After the diagnostic and preparatory phase carried out with arthroscopy, we proceed to harvest the tendon graft and strengthen it with wrapping sutures. We believe both of these steps to be fundamental for avoiding surgical complications during the next steps. In order to prevent iatrogenic lesions and keep the traction sutures from intertwining, we used two rubber tubes to facilitate the passage of the tendon graft into the joint. We place the tendon in an anterior–superior–lateral position relative to the humeral head.