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Related Experiment Video

Updated: Jan 4, 2026

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

Published on: December 10, 2021

Double Row-Equivalent PASTA Repair Technique.

John T Heffernan¹, Victor J Wu¹, Mary K Mulcahey¹

¹Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana, U.S.A.

Arthroscopy Techniques

|November 9, 2019

Summary

This study introduces an innovative outside-in double row-equivalent technique for repairing partial articular-sided rotator cuff tears, offering a less invasive approach to shoulder pain. The method aims for reliable healing while preserving healthy tendon tissue.

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Area of Science:

Orthopedic Surgery
Sports Medicine
Arthroscopic Techniques

Background:

Partial articular-sided rotator cuff tears are a frequent cause of shoulder pain and limited function.
Current arthroscopic repair methods may involve damaging healthy tendon tissue and require numerous implants.

Purpose of the Study:

To describe a novel outside-in double row-equivalent technique for arthroscopic repair of partial articular-sided rotator cuff tears.
To present a method that minimizes disruption of healthy rotator cuff tissue and reduces implant usage.

Main Methods:

A percutaneous medial row of inverted horizontal mattress stitches is placed using spinal needles.
Sutures are retrieved and tied in the subacromial space, then secured to a lateral anchor.
The technique can include a biceps tenodesis integrated into the rotator cuff repair.

Main Results:

The described technique achieves a side-to-side double row-equivalent repair.
It anatomically restores the rotator cuff footprint without sacrificing healthy tissue.
The method is efficient, reproducible, and preserves bursal tissue.

Conclusions:

This outside-in double row-equivalent technique offers a reliable and cost-effective solution for partial articular-sided rotator cuff tears.
It preserves healthy tendon and bursal tissue, potentially leading to better patient outcomes.
The technique is a valuable alternative for managing this common shoulder condition.