ACL tear is one of the most common soft tissue injuries of knee. It is diagnosed clinically as well as radiographically by MRI. It is generally reconstructed arthroscopically by semitendinosus or bone-patellar tendon-bone autograft. In this study we tried to nd out the clinical outcome of ACL reconstruction xed by either endobutton or interference screw in the femoral side. The study was done on 60 patients divided into 2 groups i.e endobutton and interference screw group. The outcome was measured by LYSHOLM score, IKDC score and Lachman test after interval of 6 weeks, 6 months and 1 year. Finally, the study revealed that there is no superior method of femoral xation in Arthroscopic Anterior Cruciate Ligament reconstruction between Interference Screw and Endobutton.