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Trans-Tendon Suture-Bridge Knotless Proximal Pulley Repair With Bioinductive Patch Augmentation for High-Grade
Maria Agustina Olarán1,2, Napatpong Thamrongskulsiri1,3, Felipe Casanova1
1Department of Orthopaedics Rush University Medical Center Chicago Illinois U.S.A.
Arthroscopy Techniques
|July 25, 2026
Summary
This novel surgical technique offers a knotless repair for gluteus medius and minimus tears, using bioinductive augmentation to enhance healing. It aims to improve outcomes for patients with degenerative abductor tendon injuries.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
- Regenerative Medicine
Background:
- High-grade partial tears of the gluteus medius and minimus tendons are common, often leading to pain and functional deficits.
- Current repair techniques may not fully restore tendon integrity or promote optimal biologic healing.
- Degenerative abductor tendon tears present a significant challenge in orthopedic surgery.
Purpose of the Study:
- To describe a novel knotless trans-tendon repair technique for high-grade partial gluteus medius/minimus tears.
- To evaluate the potential of bioinductive collagen patch augmentation in enhancing tendon healing.
- To present a combined mechanical and biologic approach for improved surgical outcomes.
Main Methods:
- A knotless trans-tendon suture technique for proximal pulley repair.
- Distal suture-bridge fixation for secure tendon apposition.
- Augmentation with a bioinductive, resorbable collagen scaffold patch.
- Emphasis on anatomic anchor placement and controlled tensioning.
Main Results:
- The described technique preserves intact tendon fibers, maximizing the use of native tissue.
- It achieves broad footprint compression, crucial for tendon healing.
- The bioinductive patch supports biologic healing processes.
- The method aims for improved construct reliability and tendon healing.
Conclusions:
- This knotless repair with bioinductive augmentation offers a promising strategy for high-grade partial gluteus medius/minimus tears.
- The technique combines mechanical stability with biologic support for enhanced tendon regeneration.
- It represents a viable option for optimizing outcomes in degenerative abductor tendon pathology.
