Vol. 10, Issue 3 (2024)

Background: Malleolar fractures are the most common type of ankle fractures. These intra-articular fractures need to be managed properly as they have high chance of non-union and are usually treated operatively. Open reduction and internal fixation with malleolar screw or tension band wiring (TBW) are mostly used treatment modalities for medial malleolus fracture. The objective of this study was to compare the functional and radiological outcome of patient who underwent TBW or malleolar screw fixation.
Aim: To compare outcome of CC screw and TBW in medial malleolar fractures. 
Materials and Method: This is a prospective (From January 2024 to July 2024) study of 40 medial malleolar fractures treated at B.J. Medical College, Ahmedabad. It includes newly diagnosed patients with medial malleolar fractures admitted in hospital. Follow up period was till 24 weeks/ 6 months. Functional outcome was measured using Baird and Jackson Scoring System. Radiological outcome, adverse radiological outcome, range of motion and complications were studied and compared
Results: In this study, it showed that excellent and good results were achieved in 65% in CCS category and 95% in TBW category. Baird and Jackson scoring system used.
Conclusion: We concluded that TBW is the better modality of fixation than CC screw for medial malleolar fractures resulting in excellent functional outcome of the ankle joint after open reduction and fixation.