Objectives: The aim of our study was to assess the clinical and radiological results of arthroscopic Suture fixation with PDS IIin the management of ACL avulsion fractures Materials and Methods of study: From 01 May 2007 to 01 December 2013, 56 cases of ACL tipial avulsions in degree IV were treated with Arthroscopic reduction, internal ﬁxationusing PDS II nonabsorbable sutures passed through drill holes and tied over 4.5 screw in the tibial tubercle is now preferred (in the Lower Limb Deparment, Hospital of Traumatologyand Orthopeadic, HCM city).