Fixation Treatment of Anterior Cruciate Ligament Avulsion Fracture via Suture‐Bridge Technique Through Transtibial Tunnels

Surgical intervention is usually required for type III/IV avulsion fractures of the inferior insertion of the anterior cruciate ligament. Arthroscopically assisted suture‐bridge technique with anchors and trans‐tibial tunnel pull‐out suture fixation using high‐strength sutures are currently common surgical methods. However, the biomechanical performance of anchor fixation and transosseous tunnel pull‐out fixation is suboptimal. For patients with high sports demands or those who need to return to competitive sports early. It is crucial to ensure the stability and a good range of motion of the knee joint. To this end, we adopted the trans‐tibial tunnel pull‐out suture‐bridge fixation technique. It can provide satisfactory anatomical reduction, increase the contact area of fracture fragments and fixation strength, and achieve better biomechanical outcomes.