arthroscopic fixation of traumatic tibial bone avulsion of posterior cruciate ligament using scorpion suture passer: a new technique

several operative techniques have been described for operative treatment of posterior cruciate ligament (pcl) avulsion injuries. here we introduce a new arthroscopic suture technique for the treatment of pcl avulsion fracture using scorpion suture passer. three standard portals of anteromedial, anterolateral, and posteromedial are established along with the central transpatellar tendon portal, if necessary. a scorpion suture passer and no. 2 fiberwire were used to put two sutures at the base of the pclbone interface. after reducing the fragment, a tibial target guide for pcl was used to make a tunnel at the center of the fracture site and the fragment, if possible. an endotack is used to fix the sutures at the anterior border of the tibia. this is a practical technique with a short learning curve and biomechanically stable fixation.