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Arthroscopic superior capsular reconstruction (ASCR) is an alternative to open surgery for irreparable chronic rotator cuff tears (RCTs). This approach can provide static restraint while avoiding upward migration of the humeral head. However, graft tears and their effect on clinical outcomes after ASCR remain a debated topic. To evaluate the clinical outcomes of ASCR with mesh augmentation for the treatment of irreparable RCTs. Cohort study; Level of evidence, 3. The data of 72 patients with irreparable RCTs who un