[Objective] To introduce the surgical technique and preliminary clinical outcomes of double ring cross suture for repairing acute Stener injury of thumb. [Methods] From May 2012 to July 2019, a total of 12 patients received double ring cross suture for acute Sten- er injury of thumb with lateral collateral ligament insertion reconstruction. The thumb spica cast without involving interphalangeal joint line was used for external fixation for 4 weeks postoperatively, with active interphalangeal joint exercises. After the cast was removed, a brace was used for another 2 weeks without involving the wrist and interphalangeal joints, and progressing rehabilitation of the affected finger was conducted. [Results] All the 12 patients were followed up for 7~25 months. At the latest follow up, the metacarpophalangeal joint of thumb was stable and normal, with negative the ulnar stress test, normal pinching force, and normal sensation of the back of the hand and finger. According to Saetta's criteria, the outcome was graded as excellent in 10 cases, good in 1 case and fair in 1 case, with the excellent and good rate of 91.67%. [Conclusion] This double ring cross suture may be a better choice for the treatment of acute Stener injury of thumb.