Vol. 11, Issue 3 (2025)

Background: Medial malleolar fractures are the most common injuries seen in day-to-day clinical practice. The management of an undisplaced fracture includes the use of a plaster of Paris cast. However, fractures with more than 2 mm of displacement need surgical intervention. This study was conducted to assess the functional results obtained using the modified tension band wiring method for the fixation of medial malleolar fractures.
Methodology: The study was a hospital-based cross-sectional study and was performed over the period of one year. A total of forty cases of medial malleolar fracture were enrolled in the study after taking informed consent. The fractures were treated utilizing a modified tension band wiring technique. All patients were followed for a minimum of six months and the final functional outcome was determined using the Baird Jackson scoring system. Data was collected as per a pre-made proforma. Data analysis was done as per standard statistical protocol. 
Results: The mean age of patients in this study was 35.65 (SD±12.31) years. A male preponderance (n=26; 65%) was observed in our study. Road traffic accidents accounted for the majority (n=19; 47.50%) of the medial malleolus fractures. The right side (n=26; 65%) was involved in the majority of our patients. The majority (50%) of the patients had a supination external rotation type of fracture. The majority (77.5%) of the patients had radiological union of the fracture at 8 weeks. According to the Baird and Jackson scoring system, the majority (n=28; 70.0%) of our patients reported excellent results. Good and fair results were obtained in 17.5% and 12.5% of our patients, respectively.
Conclusion: The study found that the modified tension band wiring is an effective modality in the management of medial malleolus fractures inorder to obtain a good functional outcome.