Table 2.

Advantages and limitations of the suture‐button technique

Advantages

The technique is suitable for all types of displaced ACL avulsion fracture.

No intra‐articular hardware is used.

The suture passing instrument can easily pass sutures through the ACL.

The combination of two methods (ligament suture method and avulsed bone fragment suture method) can provide proper reduction and stable fixation.

Use of a PDS loop facilitates suture retrieval through the ACL or tunnel.

A less invasive option for skeletally immature patients (only two 2.4‐mm wide tunnel).

Tunnel drilling does not need to pass through the fracture fragment.

Button reduces the cutting effect of the suture on the bone edge.

Minimal risk of wound healing complications.

The technique is effective and economical with a shorter operative time.

Limitations

The technique is technically demanding.

ACL, anterior cruciate ligament.