Fixation with anchors for posterior cruciate ligament avulsion by arthroscopy: a new technique.

We describe a completely new arthroscopic technique for the reduction and fixation of avulsion fractures of the distal insertion of the posterior cruciate ligament. The fixation system we propose has an arthroscopic design consistent with a self-screw anchor, proven resistant to 705 N, placed through the anteromedial portal, and retrieving the sutures through the tibial tunnel, thus minimizing the risk of neurovascular damage and without the need of retrieving the fixation material in the future. The use of arthroscopy allows one to evaluate and treat associated lesions. The technique is easy and highly reproducible.