Abstract

Aim: The aim of the present study evaluates the management of Avulsion Fracture Tibial
Spine by Open Reduction and endobutton Fixation.
Methods: Total 18 cases of Tibial spine avulsion were included in this study. A final
intraoperative radiograph of the knee is taken to ensure that the tibial spine avulsion remains
anatomically reduced. The wounds are then closed in the standard fashion. The knee is placed
in a functional brace locked in extension and Static quadriceps exercises started from 2nd
day. Sutures will be removed on 12th -15th post-operative day. The brace is worn for a total
of 8 weeks and held in extension during first two weeks, with gradually increased range of
motion. Weight- bearing is recommended after suture removal postoperatively. Partial weight
bearing recommended after suture removal and full weight bearing after 4 weeks
postoperatively with knee brace on. Regular follow up of all cases was done at 6 weeks, 3
months, 6 months, 9 months and one year.
Results: 18 patients were included in this study. The study sample included 20 males
(90.9%) and 2 females (9.1%). The median age of patients was 31 years (range 21–52 years).
77.27% cases (17) had mode of injury road traffic accidents, 22.72% (5) cases are due to
sports injury. 66.67% of the patients show excellent results followed by good outcome
27.78% and one patient show fair result and none of patients under poor outcome.
Conclusion: Open reduction of displaced tibial spine avulsion fractures using an endobutton
provides a satisfactory functional outcome. This procedure does not require implant removal
and allows early weight bearing and rehabilitation.