J Korean Orthop Assoc.  2020 Oct;55(5):444-449. 10.4055/jkoa.2020.55.5.444.

Arthroscopic Treatment of an Anterior Cruciate Ligament Avulsion Fracture: Physeal-Sparing, All-Inside Suture Bridge Repair

  • 1Department of Orthopaedic Surgery, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea


An anterior cruciate ligament (ACL) avulsion fracture is an uncommon injury that occurs predominantly in the pediatric and adolescent population. Accurate reduction and fixation of an avulsed fragment are necessary to restore and maintain the length of the ACL and normal knee biomechanics. Several techniques are available to repair an ACL avulsion fracture. On the other hand, treatment is controversial in skeletally immature patients due to risk of physeal injury. This paper reports a case of an ACL avulsed fracture in a skeletally immature patient treated with arthroscopic all-inside suture bridge repair, in which an excellent result and firm stability were obtained without physeal injury.


arthroscopy; anterior cruciate ligament; avulsion fractures; physeal sparing; suture bridge
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