Arthroscopic Noninvasive Transtendon Double‐Pulley Suture‐Bridge Repair of Both‐Sided Partial‐Thickness Rotator Cuff Tears

Abstract

Currently, surgical techniques for both‐sided partial‐thickness rotator cuff tears (PTRCTs) are rarely described, and the successful repair of both‐sided PTRCTs is challenging. Transtendon repair is a good technique for repairing PTRCTs, but the resulting trauma to the tendon is unacceptable. Therefore, we describe a method of noninvasive transtendon repair that does not require a medial‐row anchor. In the treatment of PTRCTs, the residual tendon can be thoroughly preserved without any trauma; a tendon tear on the bursa can be effectively repaired, while the articular layer can also be sufficiently restored. Six sets of double‐pulley suture‐bridge repair can offer superior failure strength and enough initial stability of the tendon.