Outcome Assessment Of Arthroscopic Suture Pulls Out Fixation Of Displaced Tibial Spine Avulsion Fracture

Abstract

Background - In this study, we describe the clinical and radiologically outcomes of arthroscopic fixation of ACL bony avulsion with suture pull-out technique using two high strength, nonabsorbable sutures.Method - This prospective study conducted on 50 patients having avulsion tibial spine fracture classified Meyers & McKeever Type II, TYPE III and IV were involved in our studyResult - The mean age of subjects was 26.32 ± 9.12 years. The majority of subjects were in the age group 21 to 30 years. 82.00% were males and 18.00% were females. 4.00% had Fall from the cycle, 82.00% had fallen from Motorbike and 14.00% had Fall While Playing. 74.00% had Type III and 26.00% had Type IV Meyers and McKeever's classification. At 3 months, the mean Post op Lysholm score was 85.12 ± 1.51, at 6 months was 96.12 ± 1.02 and at 12 months was 97.01 ± 0.98. 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. 4.00% had Post Op Knee StiffnessConclusion - Arthroscopic suture pull-out fixation for type III and IV tibial spine avulsion results in excellent clinical and radiological outcomes in patients with open and closed physis without any significant complications.