Who is a good candidate for this procedure, and who should avoid it?

Good candidates include patients with full-thickness rotator cuff tears causing persistent pain, weakness, or functional limitation despite conservative treatment. Ideal patients have good tendon quality and minimal fatty infiltration. Contraindications include massive, irreparable tears with advanced muscle atrophy, active shoulder infection, or severe glenohumeral arthritis. Patients with unrealistic expectations or unwillingness to comply with prolonged rehabilitation are also not suitable.