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Objectives:   To investigate the therapeutic efficacy of arthroscopic reduction and internal fixation of avulsion fracture of anterior cruciate ligament (ACL) from tibial eminence with sutures by four tibial tunnels.Methods:   Twenty five cases of avulsion fracture of ACL from tibial eminence were treated by arthroscopic reduction and internal fixation with sutures by four tibial tunnels tibial from March 2012 to March 2015.The average follow-up period was 18 months, ranging from 12 to 24 months. The follow-up assessment included anterior drawer testLachman testpivot shiftLysholm knee score and the radiological evaluation.Results:   All cases successfully achieved reduction and bone union.The knee function was good.The results of anterior drawer testLachman test and pivot shift were negativeThe preoperative and final follow-up Lysholm knee scores were ( 45.2±6.5) and ( 95.2±4.7) points respectively with statistically significant differenece (t =21. 4P&lt;0.05).Conclusion:   The arthroscopic reduction and internal fixation of avulsion fracture of ACL from tibial eminence with sutures by fou rtibial tunnels is minimally invasive and convenient with satisfactory reduction and fixation,which can benefit the posoperative rehabilitationIt can avoid reoperation and achieve excellent results

orthopaedic journal of sports medicine

Arthroscopic reduction and internal fixation of avulsion fracture of anterior cruciate ligament from tibial eminence with sutures by four tibial tunnels