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hello Iamp;#39;m Shi from msk MRI today we will delve into ACL repairs complete tear involving the substance of the ACL rarely heal making ACL reconstruction the gold standard of treatment however the ACL itself is intact in the case of this patient who has a tibial Eminence evulsion fracture primary repair is most successful when evulsion occurs at either the femoral or tibial ACL attachment additionally bony evulsion of the distal ACL can be treated successfully with direct bone-to-bone fixation itamp;#39;s important to note that primary repairs for midsubstance ACL tiers are frequently unsuccessful and are generally not recommended the treatment principles for ACL injuries are based on the amount and pattern of fracture displacement although controversial treating displaced fractures type three commuted fractures type four and patterns where a closed reduction does not fully reduce the fragment is more amable to arthoscopic evaluation and anatomic reduction with internal fixation