Arthroscopic Transseptal Single-Tunnel Posterior Cruciate Ligament Refixation

Posterior cruciate ligament avulsions are relatively rare and often go undiagnosed. However, they need to be fixed to restore knee biomechanics. Fixation techniques vary from open to arthroscopic with comparable results. Arthroscopic techniques are less invasive; however, they are technically demanding. This Technical Note describes one such relatively low-cost arthroscopic suture tape pull-out technique using both an anterior and transseptal portals to fix the posterior cruciate ligament avulsion fragment.