Arthroscopically assisted refixation of fractures of the intercondylar eminence

To restore anterior cruciate ligament (ACL) function and therefore knee joint stability surgical refixation of ACL avulsion fractures is a unanimous recommendation in the literature. Both arthroscopic screw fixation and transtibial suture fixation are appropriate surgical procedures regarding results and complication rates. Based on minimally invasive and minor effects on epiphyseal growth plates, we prefer arthroscopically assisted cannulated screw refixation, especially in skeletally immature patients. The present article comments on the recommendations from the current literature, discusses benefits and adverse effects of several surgical approaches and demonstrates own results and experiences. © 2010 Springer-Verlag.