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This represents a potential new area of focus and intervention. Despite an array of rotator cuff repair techniques, from varying suture configurations and double\u2010row repairs to biologic adjuncts and patches, a substantial proportion of repairs do not heal or go on to retear. Decades of research have been dedicated to identifying risk factors for these failures and mitigating their influence. Yet, as we transitioned from open to arthroscopic repair, we became less concerned with regard to overt infection, which is rare using arthroscopic techniques. Now, we must take precautions to prevent occult bacterial contamination. 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