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

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.