Tibial spine avulsion fractures mostly occur in adolescents and young adults. Displaced fractures lead to non-union and increased knee instability which need surgical intervention for optimal functional outcomes. We conducted this prospective study to evaluate functional results obtained after open reduction with endo-button fixation via minimal incision in tibial spine avulsion fractures. Open procedure was performed to prove that even without arthroscopic methods, fixation of tibial spine can be done with comparable results. Introduction: Displaced tibial eminence avulsion fractures warrants a surgical intervention. Newer studies have indicated the superiority of arthroscopic fixation over other surgical options but the management of patients falling under low socioeconomic status is a different challenge for treatment altogether because of lack of resources, arthroscopic trained personnel and equipments and economic constraints. In our study, we describe a new technique of fixation using intraarticular button (Endobutton) and polyester 5 (#5 Ethibond) in a peculiar fashion. Aim: To describe the technique and to evaluate its outcome. We aimed to determine whether this fixation method could be an optimal alternative to address this fracture in such circumstances. Materials and methods: The prospective study included 35 patients having tibial spine avulsion fractures referred to a tertiary health care centre in South Rajasthan were selected for this study. Classification of anterior tibial spine (ACL avulsion) a fracture done by Meyer and Mckeever. Patients having Meyer and McKeever type 3 and 4 were included in the study. Functional and clinical outcome measured with Lysholm knee score at final follow up. Results: We had excellent results in 23 cases (65.71%), good in 12 cases (34.28%) according to the Lysholm score. Bony union was achieved in all patients within 3 months. All patients had a complete functional recovery and were able to return to work and to resume their activities after 6 weeks and 3 months respectively. At final follow up, the mean Lysholm score was 94.2±4.2. Conclusion: The study suggested that this is a simple and effective technique with acceptable results. The study also indicates that our technique has the potential to be an optimal alternative to address this fracture in the said population. Further, it should intrigue surgeons with limited orthopaedics setup and instrumentation to further evaluate and adapt the technique.