Comparison between CC Screw and tension band wiring in treatment of medial malleolus fracture

Author(s): Ravikant Jain, Nihit Mantri and Dr. Pranav Mahajan

Abstract: Introduction: Ankle fractures are common fractures treated by orthopaedic surgeons. There has been an increased prevalence of such fractures over the last two decades both in young, active patients and in elderly ^[1]. Unimalleolar fractures are the most common injury of all ankle fractures ^[2]. Isolated medial malleolus fractures are less common than lateral malleolar fractures. Still they constitute a significant portion of ankle injuries and historically their treatment has been controversial. There is a concern that a non operative approach may fail to produce an anatomical reduction of the mortise, leading to ankle instability, non union and post traumatic osteoarthritis of the ankle. Objectives: To evaluate functional and radiological out-come of medial malleolus fractures of ankle joint managed by various modalities along with its intra as well as post operative complications. To evaluate functional recovery of patient at follow up of 1,3,6,9 months. To calculate total time taken for union of fracture. Material and Methods: Present study consists of 30 patients with medial malleolus fractures treated in Department of Orthopedics, SAMC and PGI, Indore, during September 2015 to September 2017. Results: 80% of the patients showed excellent results in our study, and 20% showed good results after 9 months. Conclusion: Open reduction and internal fixation of medial malleolus fractures with CC screws or TBW produced reliable results, with acceptable range of movement and resuming back to activities of daily living. In our study fractures fixed with CC screws produced 69.23% excellent results and those fixed with TBW produced 88.23% excellent results according to Baird and Jackson scoring system after 9 months.

DOI: https://doi.org/10.22271/ortho.2018.v4.i1n.136