Arthroscopic V-Shaped Double-Pulley Suture-Bridge Repair of Massive Rotator Cuff Tear

Peiguan Huang; Xiaoxu Wang; Yong Fu; Xiaojun Tang; Zhihong Xiao; Zhengmao Li; Bin Peng; Min He; Chunrong He

doi:10.1016/j.eats.2024.103112

Arthroscopic V-Shaped Double-Pulley Suture-Bridge Repair of Massive Rotator Cuff Tear

Arthrosc Tech. 2024 Jul 6;13(11):103112. doi: 10.1016/j.eats.2024.103112. eCollection 2024 Nov.

Authors

Peiguan Huang¹, Xiaoxu Wang¹, Yong Fu¹, Xiaojun Tang¹, Zhihong Xiao¹, Zhengmao Li¹, Bin Peng¹, Min He¹, Chunrong He¹

Affiliation

¹ The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China.

Abstract

At present, suture bridge is a feasible choice in the treatment of massive rotator cuff tears (MRCTs). However, high tension on the repair site and medial tension during suture tightening and after medial knotting are unavoidable problems in MRCT repair with a suture bridge. Arthroscopic V-shaped double-pulley suture-bridge repair is a pragmatic surgical technique for the repair of MRCTs. The unique parallel design of medial- and lateral-row anchors can minimize tendon tension on the apex portion; 6 sets of double-pulley suture bridges can not only provide sufficient tendon-bone contact area but also reduce the tendon retear rate. Moreover, medial knotless techniques can reduce tendon tension.