Pulvertaft technique of suturing tendon of small diameter to one of larger diameter. A, Smaller tendon is brought through larger tendon and anchored with one or two sutures after tension is adjusted. B, Tendon is brought through more proximal hole and is anchored again with one or two sutures after tension is adjusted. C, After excess is cut flush with larger tendon, exit hole can be closed with one or two sutures. D, Excess of larger tendon is trimmed as shown to permit central location of smaller tendon. This so-called fish mouth is closed with sutures.