Avulsion fractures of the tibial eminence have been well described in child
ren and adults with an increased in incidence resulting from road traffic a
nd athletic accidents. According to the literature, only surgical treatment
is advocated because of the high incidence of the nonunion and instability
following conservative treatment. Open reduction can cause some morbidity
and, therefore, arthroscopic techniques have been developed. The limitation
s of the techniques are related to technical difficulty and unstable fixati
on, We report a simple and effective method of fixation with the following
advantages: (1) use of metallic suture for stable fixation, (2) the fixatio
n device is easily removed in the office, (3) there is no need of additiona
l instruments, and (4) the minimal size of the fixation device avoids damag
e to the anterior cruciate ligament insertion. This technique has been used
in a series of 10 consecutive patients treated for avulsion fractures of t
he tibial spine since 1991, resulting in a high rate of excellent and good
results without any case of nonunion fracture or related complication.