Background: Supraspinatus tendon tears are the most common form of rotator cuff injuries, leading to pain, reduced shoulder function, and disability. Although arthroscopic repair is widely practiced, open supraspinatus repair using suture anchors remains a reliable and cost-effective method, especially in resource-limited settings.

Aim: To evaluate the functional outcome of open supraspinatus repair using anchor sutures.

Materials and Methods: This study included 10 patients diagnosed with supraspinatus tendon tears who underwent open repair using suture anchors. Patients with full-thickness tears and symptomatic partial tears not responding to conservative treatment were included. Preoperative assessment was done clinically and with MRI. Functional outcomes were evaluated using standard scoring systems (Constant/UCLA score) during follow-up.

Results: Out of 10 patients, 8 had full-thickness tears and 2 had partial tears. The mean preoperative functional score improved significantly from 35–45 to 75–90 postoperatively. Excellent results were seen in 5 patients, good in 4, fair in 1, and poor in 0, with an overall success rate of 80%. Significant pain relief and improved range of motion were observed in 8 patients. Complications included superficial infection and shoulder stiffness in one case each, with no cases of anchor failure or re-tear.

Conclusion: Open supraspinatus repair using anchor sutures is a safe, effective, and economical technique that provides good to excellent functional outcomes, making it a valuable option in the management of rotator cuff tears.