Arthroscopic Nontransosseous Suture Fixation of Anterior Cruciate Ligament Avulsion Fractures

Few cases of anterior cruciate ligament (ACL) tibial avulsion injuries occur in adolescents. Bony ACL avulsion from the tibial side has been treated by various methods ranging from conservative management to a wide range of operative procedures. Various arthroscopic operative procedures are available to reduce and fix these fractures. We describe a technique of arthroscopic “8” knotted fixation without any tibial tunnels for tibial-sided ACL avulsion. This simple technique avoids the potential complications of hardware fixation within a joint. It represents an arthroscopic treatment option for ACL tibial avulsion injuries.