Abstract
Anterior cruciate ligament tibial eminence avulsion fracture may result in knee instability if not properly treated. Arthroscopic treatment has shown favorable clinical outcomes. Currently, high-strength suture fixation through the tibial tunnel and anchor suture-bridge technique are widely used surgical techniques. Although the suture-bridge technique exhibits superior biomechanical properties compared with high-strength suture fixation, it presents challenges in anchor placement and risks anchor dislodgement from cancellous bone, potentially resulting in fixation failure. To address these limitations, we employ a reversed anchor repair technique for tibial eminence avulsion fracture. This method achieves anatomical reduction of fracture fragments, enhances fixation strength, and ensures favorable biomechanical outcomes.