Abstract
We present a method of internal fixation for large avulsion fracture of the anterior cruciate ligament (ACL) using arthroscopy and its result. Our method was for the internal fixation of an avulsed fragment together with the attachment of the ACL. We treated a 36-year-old man.
The technique for treating an avulsed fragment with the ACL was follows. Firstly, reduction of the avulsed fragment was performed using a probe. Then one tunnel was made from just medial to the tibial tubercle to the avulsed fragment using 2.4mm Kirshner wire. The fragment was fixed securely using AO small cancellous bone screw.
Now, at 14 months after the operation, the patient has no symptom, and can take part in sports.