Arthroscopic Double-Pulley Suture-Bridge Repair of Partial Articular Supraspinatus Tendon Avulsions >1.5 cm Using One Medial-Row Anchor

Peiguan Huang, M.Med.; Xiaoxu Wang, M.Med.; Yong Fu, M.D.; Zhengmao Li, M.D.; Bin Peng, M.Med.; Min He, M.Med.; Chunrong He, M.D.

doi:10.1016/j.eats.2025.103435

Arthroscopy Techniques (May 2025)

Arthroscopic Double-Pulley Suture-Bridge Repair of Partial Articular Supraspinatus Tendon Avulsions >1.5 cm Using One Medial-Row Anchor

Peiguan Huang, M.Med.,
Xiaoxu Wang, M.Med.,
Yong Fu, M.D.,
Zhengmao Li, M.D.,
Bin Peng, M.Med.,
Min He, M.Med.,
Chunrong He, M.D.

Affiliations

Peiguan Huang, M.Med.: Address correspondence to Peiguan Huang, M.Med., The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.; The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, China
Xiaoxu Wang, M.Med.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, China
Yong Fu, M.D.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, China
Zhengmao Li, M.D.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, China
Bin Peng, M.Med.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, China
Min He, M.Med.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, China
Chunrong He, M.D.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, China

DOI: https://doi.org/10.1016/j.eats.2025.103435
Journal volume & issue: Vol. 14, no. 5
p. 103435

Abstract

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Currently, transtendon repair with 2 medial-row anchors is a popular treatment for PASTA (partial articular supraspinatus tendon avulsion) lesions with tear sizes greater than 1.5 cm; however, the shortcoming is too much tissue trauma on the bursal layer. In this Technical Note, we present the double-pulley suture bridge mini-incision transtendon (trianchor “mini-incision” transtendon) technique. In treatment of PASTA lesion with tear size greater than 1.5 cm, one medial-row anchor and one “mini-incision” on the tendon can minimize tendon trauma, 6 sets of sutures can offer minimal gap formation and enough ultimate failure strength, and 4 sets of double-pulley suture bridges with crossing suture configuration can perfectly cover the “mini-incision,” with surgical difficulty and implant costs being reduced.

Published in Arthroscopy Techniques

ISSN: 2212-6287 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: https://www.journals.elsevier.com/arthroscopy-techniques

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