Abstract: Background: Fixation of alternative for diagonally fractures of medial malleolus was invariably been as debate a most of the days the fragment is simple too little to attain placement of two screw heads. Absolute stability of the medial malleolus fragment with one screw is troublesome in comminuted and osteoporotic fragments.
Materials and Methods: this is often a prospective study conducted in our centre from Gregorian calendar April month 2014 to January 2018 in thirty five cases.
Results: There was a failure of two cases of fixation with single screw out of sixteen cases of primary fixation with single screw, tributary to 11.77% of cases of failure with primary single screw fixation.
Conclusion: we tend to advise to mend two screws of 4.0mm cannulated cancellated screws crossing the fracture site if the fragment is giant enough to support screw heads. If the fragments area unit little we tend to choose to do a tension band wiring with two K-wires and a diagonally screw that we tend to had exhausted 52.80% of cases as a primary procedure. All two failure cases in our series achieved union with tension band wiring.
