ACL tibial avulsion fixation: Arthroscopic suture fixation, two tunnel technique

Don Tharnphraisarn, M.D.
Orthopaedics Department, Chumphae hospital, Thailand

AOSMAK volume 1 (2022)

Archives of Orthopedic Sports Medicine and Arthroscopy Knowledge (AOSMAK) is an open-access peer-reviewed journal of Thai Orthopaedic Society for Sports Medicine (TOSSM)

ACL Tibial avulsion fractures are most common in children and teenagers but do also occur in adults. The aim of treatment is reduction of the fracture, restoring the ACL length for appropriate healing and avoiding complications. There are many techniques described to treat these fractures with no current consensus on the optimal method of fixation. This proposed technique is a simple suture fixation using 2 high-strength sutures tied through 2 transosseous tunnels. This simple and low-cost technique can be reproducible and strong enough for early mobilization to prevent arthrofibrosis, which is the most common complication.