Abstract
Anterior cruciate ligament (ACL) is most common ligament injured in knee. Sometimes, these are tibial side avulsions, leading to anterior knee impingement and instability. Multiple arthroscopic techniques have been described ranging from screw, staple, and k-wire fixation. Recent past have shown emergence of various transosseous suture fixation techniques using button, disc, or bone bridge. Transosseous techniques described range from single, double, and four tunnel method using fiber wire in various configuration. Our technique highlights biologic, balanced, and knotless method of ACL tibial avulsion fixation using fiber tape and two tibial tunnels.