Evaluation of Comparative Study of Medial Malleolus fracture fixation in Bimalleolar Ankle fracture.

Volume : VIII, Issue : VI, June - 2018

Jakir Hussain, Amit Sharma, Lakhpat Yadav, Kamal Kumar Agarwal

Introduction: Ankle injuries due to its complex anatomy and high congruency need to be anatomically reduced to get a

good functional outcome and to avoid complication. In our study we have compared outcome of two commonly

performed procedures over medial malleoli fracture i.e Tension band wiring (TBW) vs Malleolar Screw (MS).

Material and Methods: The study was conducted over 40 patients who were followed for 6 month atleast and outcome was compared in terms of

The Modied Ankle Score of Olerud and Molander.

Results: Functional results on basis of The Modied Ankle Score of Olerud and Molander score were excellent + good in 90% cases of TBW and

80% cases of MS (P=0.04) and Radiological union in 9.4 weeks in TBW group and 11.2 weeks in MS group (P=0.03).

Conclusion: Our study showed better outcome with TBW as compared to MS in terms of both functional and radiological union. We recommend

use of Tension band wiring for medial malleolus fracture xation