Table 2.

Key Points, Advantages, and Limitations of Procedure Based on Our Experience

Key points

The tightening device should be used for gradual tensioning.

Over-tensioning the first suture should be avoided to prevent posterior translation of the fragment.

It is not necessary for the surgeon to take care of the knee flexion angle at the time of fixation.

The surgeon should confirm the suture movement and ACL tension under direct arthroscopic visualization.

Advantages

Preparation for the procedure is easy.

Gradual tensioning can be performed while checking the tension of the ACL.

The procedure is safe and easy for the patient.

The technique does not take much time.

Limitations

The threshold of suture tension for this procedure is unknown.

It is difficult for the surgeon to loosen the tension of the suture after tensioning.

ACL, anterior cruciate ligament.