Fig 2.

(A) Arthroscopic photograph and drawing of right knee (in supine position), viewed from standard anterolateral portal. The tibial spine avulsion fragment is shown after debridement and blood clot removal. (B) A 45°, left-curved suture passer loaded with a No. 1 polydioxanone suture is inserted through the anteromedial portal and pierced through the most fibrous portion of the anterior cruciate ligament from the medial to lateral side, as close as possible to the tibial footprint. (C) One limb of the No. 5 Ethibond is shuttled through the anterior cruciate ligament fiber. The 45°, left-curved suture passer is used to shuttle the medial limb of the No. 5 Ethibond suture, making a locking loop. (D) The same technique is repeated: One limb of the Ultrabraid suture is shuttled, making a simple loop. The asterisks indicate the tibial spine avulsion fragment. (LFC, lateral femoral condyle; T, tibia.)