Arthroscopic Supraspinatus Repair With Bioinductive and Mechanical Reinforcement Using a Biocomposite Scaffold

Rotator cuff repair failure remains a major challenge, particularly in large, chronic, and revision supraspinatus tears. Structural failure is multifactorial and involves both mechanical insufficiency and compromised biologic healing capacity. Retear rates in large and massive tears have been reported between 20% and 70%. Biocomposite‐reinforced scaffolds have been introduced to address both mechanical and biologic limitations. BioBrace (CONMED, Largo, FL) consists of a porous type I collagen matrix reinforced with resorbable poly‐L‐lactic acid microfilaments, designed to provide load‐sharing support while promoting tissue ingrowth. This technical note describes a stepwise arthroscopic double‐row supraspinatus repair incorporating a bioinductive and mechanically reinforced scaffold.