"Mini-Incision" Transtendon Double-Pulley Suture-Bridge Repair of PASTA Lesion

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2024 Oct 31

PMID 39479030

Authors

Peiguan Huang

Xiaoxu Wang

Yong Fu

Xiaojun Tang

Zhihong Xiao

Zhengmao Li

Bin Peng

Min He

Chunrong He

Affiliations

Soon will be listed here.

Abstract

Transtendon repair is increasingly applied in the treatment of PASTA (partial articular supraspinatus tendon avulsion) lesions, but a "tendon hole" from anchor insertion, which will break the intact bursal layer and potentially result in tear completion, is an unavoidable problem. The "mini-incision" transtendon double-pulley suture bridge presented in the study is a pragmatic technique in treatment of PASTA lesion. The 4 suture strands on the medial-row anchor provide enough biomechanical strength on the reattached articular layer, the "mini-incision" minimizes iatrogenic trauma on the bursal layer, and double-pulley suture-bridge smoothly covers the "mini-incision" so as to achieve anatomical reduction of articular and bursa side of supraspinatus tendon. The surgical technique is described, as well as pearls, pitfalls, advantages, and disadvantages.

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