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While the ideal goal of a rotator cuff repair is anatomic restoration of the native tendon footprint, this may not always be possible to accomplish without placing significant tension on the medial stump. Recent literature shows the importance of tension modulation in rotator cuff repair, showing better clinical outcomes and healing rates with tension\u2010reducing techniques, compared with full footprint covering repair, with the difference notable in larger and more retracted tears. Simultaneously single\u2010 and double\u2010row repairs showed similar outcomes, better results were achieved with rehabilitation that was conservative rather than accelerated, and no difference was shown between tendon remnant preservation and footprint medialization.<\/jats:p>","DOI":"10.1002\/arj.70134","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:04:47Z","timestamp":1776823487000},"page":"1133-1135","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Editorial Commentary<\/i>\n                    : Don't Pull Too Hard: Decreasing Tension in Rotator Cuff Repairs, Especially for Large and Retracted Tears, Leads to Superior Outcomes and Healing Rates"],"prefix":"10.1002","volume":"42","author":[{"given":"Alexander","family":"Golant","sequence":"first","affiliation":[{"name":"New York University School of Medicine  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02035"},{"key":"e_1_2_3_3_1","first-page":"179","article-title":"Risk factors, incidence, and management of re\u2010injury following repair of shoulder rotator cuff","volume":"7","author":"Parvizi D","year":"2025","journal-title":"J Orthop Sports Med."},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2021.05.019"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671251397388"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-025-09403-3"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.09.007"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.5397\/cise.2025.00311"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/arj.70131"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.05.010"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.03.069"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.06.040"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-025-05702-6"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(03)00211-8"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06708-3"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671241262264"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-023-00608-w"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671251360366"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.07.043"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-021-02449-8"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.03.012"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-024-07431-z"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70134","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70134","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70134","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T18:52:28Z","timestamp":1783018348000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70134"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,21]]},"references-count":21,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/arj.70134"],"URL":"https:\/\/doi.org\/10.1002\/arj.70134","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,21]]},"assertion":[{"value":"2026-04-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}