IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-9-8-26384 Original Research Paper ARTHROSCOPIC FIXATION OF ANTERIOR TIBIAL SPINE AVULSION FRACTURE BY SCREW FIXATION: A PROSPECTIVE STUDY IN TERMS OF FUNCTIONAL OUTCOME Deepak Kumar Yadav Dr. Dr Ramniwas Bishnoi Dr. August 2020 9 8 01 02 ABSTRACT

Objective: The purpose of this study is to evaluate the functional outcome of displaced tibial eminence fractures managed by arthroscopic screw fixation method. Material and Methods: A total of fifteen patients of median age 25 years were followed up after arthroscopic screw fixation for displaced (type II, III and IV) tibial eminence fractures. The patients were followed with clinical examinations with Lysholm and Gillquist and International Knee Documentation Committee (IKDC) rating scales, range of motion, thigh girth and . Radiographic assessments for time to union and for accuracy of immediate postoperative reduction were also performed during the follow–up to evaluate the healing of the fracture. Follow up was done on 9 weeks, 3 months, 6 months and 12 months. Results: There were 13 male patients and 2 female patients with 12 right knees, and 3 left knees included. All the fractures healed anatomically at 3 months follow–up. Also, no clinical signs of anterior cruciate ligament deficiency were detected. Mean IKDC score and mean Lysholm and Gillquist score at final follow up were 90.20±6.60 and 94.60±4.05 respectively. At the time of last follow–up, the percentage of excellent and good results in our patients treated with the described technique were 33.33% and 66.7%, respectively, with Lysholm and Gillquist knee scoring. Conclusion: Patients having tibial spine fractures treated surgically have high rates of good to excellent functional outcome. We recommend arthroscopic suture fixation of tibial avulsion of ACL in adults with advantage of rigid fixation, good postoperative functional outcome.