Background Tibial spine avulsion fractures predominantly occur in adolescents and young adults. Displaced fractures are known to result in to nonunion and knee instability requiring surgical management for optimal functional outcome. This prospective study was designed to study functional results following open reduction with end button fixation via minimal incision in tibial spine avulsion fractures. Open reduction was done to prove that without arthroscope fixation of tibial spine can be done with comparable results.