Stone MA, et al. - This study was attempted to assess midterm outcomes of arthroscopic rotator cuff repair in patients aged 75 years and older. Researchers conducted a retrospective study including individuals aged ≥ 75 years undergoing arthroscopic rotator cuff repair at a minimum of 24 months after surgery. The range of motion (ROM), visual analog scale (VAS) pain scores, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) scores, Single Assessment Numeric Evaluation (SANE) scores, and Short-Form Health Survey (SF-12) scores were the outcome measures. They ascertained reoperation and rates of conversion to reverse shoulder arthroplasty (RSA). The study included a total of 83 individuals with an average follow-up of 56.9 ± 25.9 months (range 24-127 months). In select individuals aged ≥ 75 years, rotator cuff repair appears in reliable improvements in pain and function. At midterm follow-up, there was a low reoperation rate or conversion to RSA (7.2%). This research shows a role for rotator cuff repair in an elderly population and argues against the routine use of reverse arthroplasty for repairable rotator cuff tears in this population.