We describe for the first time a case of lateral femoral condyle fracture following a fall in a 13-year-old child that was reduced arthroscopically using a probe. It was definitively fixed with 0 vicryl sutures in a cruciate pattern after being initially stabilised with 1.5-mm Kirschner wires. Four beath pins carrying sutures were drilled at four opposing quadrants through the reduced fragment into the femur. The sutures were then tied on the lateral cortex of the femur. After fixation, the child was kept non-weight bearing for 6 weeks, partial weight bearing from 6 weeks to 12 weeks and then full weight bearing thereafter. Range of motion (ROM) exercises were commenced on the first postoperative day. At one-year follow-up, the ROM was from −5° to 130°, all symptoms disappeared, and complete resumption of all sports activities was allowed.

Acromioclavicular (AC) joint injuries require surgical intervention in select cases. Fixation methods have varied from open to arthroscopic. However, most of the methods described have utilized hardware such as hook plates, adjustable suspensory devices, or screws. We describe an all suture arthroscopic-assisted reconstruction that uses only sutures tapes with no other hardware. The suture tapes stabilized both the AC and coracoclavicular (CC) joints without drilling through the coracoid. The advantage of this technique is that it is more anatomic, stabilizing both the AC and CC ligaments, and uses no hardware or grafts to fix the joint. It utilizes a smaller incision for the procedure. Suture tapes are stronger than normal sutures and hence provide better stability.