Aim: The aim of the present study evaluates the management of Avulsion Fracture Tibial Spine by Open Reduction and endobutton Fixation. Methods: Total 18 cases of Tibial spine avulsion were included in this study. A final intraoperative radiograph of the knee is taken to ensure that the tibial spine avulsion remains anatomically reduced. The wounds are then closed in the standard fashion. The knee is placed in a functional brace locked in extension and Static quadriceps exercises started from 2nd day. Sutures will be removed on 12th -15th post-operative day. The brace is worn for a total of 8 weeks and held in extension during first two weeks, with gradually increased range of motion. Weight- bearing is recommended after suture removal postoperatively. Partial weight bearing recommended after suture removal and full weight bearing after 4 weeks postoperatively with knee brace on. Regular follow up of all cases was done at 6 weeks, 3 months, 6 months, 9 months and one year