Fig 3.

(A) Arthroscopic photograph and drawing of right knee (in supine position), viewed from standard anterolateral portal. Creation of a tibial tunnel (2.5-mm diameter) is shown, using an anterior cruciate ligament tibial guide with the angle set at 45° and aiming at the anteromedial rim through the fracture site. (B) The same technique is performed again—this time aiming at the anterolateral rim through the fracture site from a separate tibial entry point—with at least 1 cm of bone bridge between the 2 tibial tunnels. The asterisks indicate the tibial spine avulsion fragment. (MFC, medial femoral condyle; T, tibia.)