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

Olarán, Maria Agustina; Thamrongskulsiri, Napatpong; Casanova, Felipe; Vega, Tomás F; Sánchez-Mateos, Jorge; Nishioka, Tanner; Chahla, Jorge · Arthrosc Tech · 2026

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Abstract

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.