Fig 1.

(A) Supine positioning of the patient with a thigh tourniquet and placement of the affected limb on a standard leg holder allowing full knee range of motion. The ACL tibial drill guide is set initially at 55°, and two 2.4-mm guidewires are placed medially and laterally at the posterior aspect of the fragment through the AM portal. (B) A 2.9-mm, 8-French thoracic drain needle. The thoracic drain needles are slid over each guidewire. The cutting edge of the thoracic drain needle is strong enough to easily penetrate the cancellous bone of the tibia. (C) Both needles are driven into the joint at specific points.