Trans-Tendon Suture-Bridge Knotless Proximal Pulley Repair With Bioinductive Patch Augmentation for High-Grade...

This technical note describes a knotless trans-tendon proximal-pulley repair with distal suture-bridge fixation and bioinductive collagen patch augmentation for high-grade partial gluteus medius and minimus tears. The technique preserves intact tendon fibers, restores broad footprint compression, and supports biologic healing through a resorbable collagen scaffold. Detailed steps emphasize anatomic anchor placement, controlled tensioning, and efficient suture management to improve construct reliability. This combined mechanical and biologic augmentation offers a promising option for enhancing tendon healing and optimizing outcomes in patients with degenerative high-grade partial-thickness abductor tears.