Abstract:[Objective] To describe the surgical technique and preliminary clinical results of a novel load-sharing technique for arthroscopic repair of full-thickness rotator cuff tear. [Methods] From January to June 2022, 30 patients with total rotator cuff tears were treated with abovesaid arthroscopic technique. The inner row of anchors was implanted at the outer edge of the cartilage, and then the outer row of anchors was implanted anteriorly and posteriorly in the footprint area. As sutures of outer row anchors were tensioned, and the remaining sutures of inner and outer rows were tied with a double-pulley technique, in this way continuous tension distribution of the sutures achieved to avoid the direct pulling effect of the tissues by the traditional suture. Ultimately the sutures were formed W shaped network construct covering the rotator cuff tissues. [Results] All the 30 patients successfully completed the surgery without complications, with the average operation time of (94.3±21.4) min, and were followed up for (14.8±3.1) months. The VAS score decreased significantly [(4.6±0.9), (1.1±0.8), P＜ 0.001]; while the Constant-Murley score [(42.6±5.5), (76.4±3.7), P＜0.001] and the UCLA shoulder score [(12.6±2.0), (28.8±1.8), P＜0.001] improved significantly at the latest follow-up compared with those preoperatively. In addition, the shoulder forward flexion, abduction and external rotation range of motions also improved significantly (P＜0.05), and no postoperative shoulder stiffness was observed in anyone of them. Images revealed good healing and continuity of the rotator cuff at the latest follow-up. [Conclusion] This new load-sharing technique under arthroscopy is simple and feasible method to repair full-thickness rotator cuff tear, and achieves satisfactory short-term clinical outcome.