Transtendinous Technique

For Treating PASTA Lesions

Complete the Tear or PASTA Repair?

When faced with a repairable PASTA lesion, typically small tendon retraction and 40-50% footprint exposure, surgeons have two options: either complete the tear followed by a standard rotator cuff repair or maintain the remaining bursal fibers and perform a transtendinous repair.

Studies have shown drawbacks to completing the tear including creating a length tension mismatch,1

changing the normal biomechanics of the cuff and creating a greater potential for non-anatomic recreation.5 Conversely, research has shown that a transtendinous technique that preserves native tissue provides distinct advantages.



Y-Knot® Flex All-Suture Anchors

  • Soft: All-suture anchors
  • Small: Minimal footprint
  • Secure: 360-degree FormFit™ Fixation

Clinical Resources

Interested in Superior Capsular Reconstruction Surgical Techniques?


1 Lo and Burkhart, Transtendon arthroscopic repair of partial-thickness, articular surface tears of the rotator cuff, Arthroscopy, 2004.



This material provides information regarding how to use CONMED medical devices and instruments in surgical procedures.  Although reviewed by physicians it is not medical advice and each surgeon should use their own professional judgment before using to treat a particular patient.  Surgeons should be trained in the use of such devices before surgery and should always refer to the product labeling including the Instructions for Use before using any medical device.

What our customers have to say.“Studies have shown drawbacks to completing the tear including...
changing the normal biomechanics of the cuff and creating a greater potential for nonanatomic recreation.” 
- Don A. Buford, MD
Paid CONMED Consultant

Events Calendar


ACVS 2019 Surgery Summit

17 - 19 Oct, 2019
Las Vegas, NV
United States


7th Annual Northeast ASC Conference 2019

18 Oct, 2019
Waltham, MA
United States