Schematic illustration of the reduction-first knotless fixation technique. (A) Insertion of two knotless all-suture anchors after anatomic reduction of the osteochondral fragment. (B) Shuttle passage of the repair sutures through the corresponding anchor loops. (C) Creation of the suture bridge construct across the fragment. (D) Sequential tensioning generates controlled compression across the fracture bed. (E) Final low-profile construct providing stable fixation without intra-articular metal hardware or knot stacks.