Abstract

Background: Anterior cruciate ligament avulsion common in young adults and teenage
group, other mechanism of injuries includes sports injuries fall. The present study was
conductedto assess the functional outcome of arthroscopic suture pull out fixation of
displaced tibial spine avulsion fracture.
Materials&Methods: The present prospective hospital-based study was conducted over a
period of 1 year with a sample size of 40. Diagnostic arthroscopy was performed under spinal
or general anesthesia through the standard anterolateral portal. Patients who had pain and
disability resulting from tibial spine avulsion inactive patient type II, type III and type IV,
Age: < 60 years were included in the study.
Results: In the present study majority of subjects were in the age group 18 to 30 years
(60%).In the study, 85% were males and 15% were females.15% had fall from the cycle,
60% had fallen from motorbike and 25% had fall while playing.Status of Physis in 62.5%
was closed and open in 37.5%.In the study 72.5% had Type III and 37.5% had Type IV
Meyers and McKeever's classification.At 3 months, the mean Post op Lysholm score was
85.14±1.45, at 6 months was 96.83±2.03 and at 12 months was 97.14±1.35. There was a
significant increase in Post op Lysholm score at 6 months and 12 months. At 12 months when
compared to 6 months Post op Lysholm score, there was no significant increase in Post-op
Lysholm score.10% subjects had Post-op Knee Stiffness.
Conclusion: The present study concluded that Arthroscopic suture pull-out fixation for type
III and IV tibial spine avulsion shows excellent outcomes without any significant
complications.