An Arthroscopic Technique for Hybrid Double‐Row Repair Using a Cancellous Screw and Washer for Enhanced Lateral‐Row Fixation in Osteoporotic Massive Rotator Cuff Tears With Long‐Head Biceps Augmentation

Abstract Massive rotator cuff tears in osteoporotic bone often fail because of many factors, including poor anchor fixation. We present an arthroscopic hybrid double‐row repair technique using a unicortical cancellous screw and washer for lateral‐row fixation, combined with biceps superior capsular reconstruction. This method secures multiple suture limbs through a single screw, ensures dependable bone purchase, and maintains footprint compression in fragile bone. Offering a cost‐effective and practical alternative to conventional anchors, this technique is well suited for managing massive rotator cuff tears in osteoporotic patients.