A Narrative Review on the Double Pulley-Triple Row Technique for Large to Massive Rotator Cuff Repair
- Author:
Vivek Kumar MORYA
1
;
Jun LANG
;
Yong-beom LEE
;
Jung Woo KIM
;
Kang Uk LEE
;
Kyu-Cheol NOH
Author Information
- Publication Type:Review Article
- From:Clinics in Orthopedic Surgery 2025;17(3):359-371
- CountryRepublic of Korea
- Language:English
- Abstract: Rotator cuff tears are common shoulder injuries that often necessitate surgical intervention, particularly when nonoperative treatments fail. Arthroscopic rotator cuff repair is the current gold standard; however, challenges, such as high retear rates, especially in large tears, persist. Traditional techniques, such as single-row and double-row repairs, have limitations in fully restoring the anatomical footprint and ensuring optimal healing. This review examines the novel double pulley-triple row technique, which aims to overcome these limitations by enhancing the footprint contact area, load distribution, and tendon healing. By evaluating the double pulley-triple row method in comparison to established techniques, this study explores the potential advantages, limitations, and future directions of rotator cuff repair.
