Abstract: [Objective] To describe the surgical technique and preliminary clinical results of Arthroscopic suturing of a total rotator cuff tear with a new Load-Sharing technique. [Methods] From January to June 2022, 30 patients with total rotator cuff tears were treated with arthroscopic new Load-Sharing 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, and the tissue was reset using the outer row of anchors, and then the remaining inner and outer rows of sutures were tied with a double-pulley technique, which continuously distributed the tension of the sutures, avoided the pulling effect of the tissues of the traditional suture, and ultimately formed the "W" line network to cover the rotator cuff tissues. ［Results] All 30 patients successfully completed the surgery without complications. The average operation time was (94.33±21.44) min, and the average follow-up time was (14.83±3.14) months. The VAS score decreased significantly (P<0.05); the Constant-Murley shoulder score increased significantly (P<0.05); and the UCLA shoulder score increased significantly (P<0.05). Shoulder anterior flexion, abduction and external rotation angles improved significantly (P<0.05) compared to preoperative levels. Shoulder anterior flexion and abduction angles were significantly improved at the final follow-up visit compared to the preoperative period, rotator cuff healing was good, continuity was possible, and no postoperative shoulder stiffness was observed. [Conclusion] The new Load-Sharing technique under arthroscopy can significantly improve the function of the shoulder joint in the treatment of full-thickness rotator cuff tear, and the early clinical effect is satisfactory, and it has a good application prospect. Keywords: Arthroscopy; Total rotator cuff tear; new Load-Sharing