Management of Tibial Spine Avulsion Fractures by Pull Through Suture Method.

Background: Avulsion fractures of tibial spine can be called as a variant of anterior cruciate ligament injuries and are described in both adults and children. Surgical Technique: The pull through suture technique offers a simple option of arthroscopic management of such injuries with minimal chances of loss of terminal extension due to bulky intra articular hardware as may be seen with screws. Methods: Between November 2013 and April 2016, the arthroscopic Pull Through Suture Method was used for 10 tibial spine avulsion fractures. All the patients were followed for a minimum of 6 weeks months post-operatively. Results: None of the patients had a positive anterior drawer test, Lachman test and pivot shift test at final follow-up. There was no patient with loss of terminal extension. Conclusion: The Pull Through Suture Method is a simple technique for management of tibial spine avulsion fractures.