1. Most fractures of intercondylar eminence of the tibia in the child and adolescent do not require open surgical reduction and fixation of the fragment. Excellent results, without any residual instability of the knee, can be anticipated from simple protective immobilization.
2. Open reduction and internal fixation are indicated and necessary when the fragment is completely lifted and separated from its bone bed.
3. Closed manipulation under anesthesia is not indicated and may completely dislodge a fragment from a satisfactory position so that open surgical reduction becomes necessary.
4. Fracture of the intercondylar eminence of the tibia in the adult with ligamentous injury usually has an unsatisfactory result. Repair of all damaged ligaments may improve the results.