A typical rotator cuff injury in shoulder pain is reported to affect more than 40% of adults over 60 years of age [1]. Also, more than 60% of adults over 70 years of age showed abnormal findings on magnetic resonance imaging (MRI) of the rotator cuff [2]. In a systematic review of the guidelines for rotator cuff repair, it was reported that non-surgical treatment (physical therapy and non-steroidal anti-inflammatory drugs) is more effective when the duration of symptoms in rotator cuff tear is 3 months to less than 1 year [3].However, if non-surgical treatment fails, arthroscopic rotator cuff repair (ARCR) is recommended, and the number of rotator cuff repairs estimated in the United States is estimated at more than 200,000 each year [4]. Additionally, graft augmentation is considered in ARCR considering the size, direction, and re-tear, and it is reported that there is a potential benefit by improving the healing rate as it can fill the gap lost in the bone