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The PL tendon is harvested through a minimal wrist incision and delivered intramuscularly into the supraspinatus and\/or infraspinatus using a shuttle relay technique. Subsequently, standard double\u2010row fixation is performed, incorporating the PL in a crossed suture bridge configuration. This method offers a biologically favorable and mechanically supportive alternative to dermal allografts, with minimal donor\u2010site morbidity. This technique may enhance graft integrity and healing potential and could be adapted using alternative tendons when PL is absent. Further studies are warranted to assess the long\u2010term clinical outcomes.<\/jats:p>","DOI":"10.1002\/atn2.70045","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:19:49Z","timestamp":1777447189000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Autologous Palmaris Longus Tendon Augmentation for Large to Massive Rotator Cuff Tears"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9457-4317","authenticated-orcid":false,"given":"Hee Dong","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Veterans Health Service Medical Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2204-4843","authenticated-orcid":false,"given":"Jin Uk","family":"Jeoung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery 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