A COMPARATIVE STUDY OF INTERNAL FIXATION OF FRACTURE MEDIAL MALLEOLUS TREATED WITH TENSION BAND WIRING AND MALLEOLAR SCREW FIXATION

Abstract

Background: As with all intraarticular fractures, malleolar fracture necessitates accurate reduction and stable internal xation. Undisplaced medial malleolus fractures can be treated conservatively. Various surgical modalities are now available for internal xation of such fractures. This study aims at comparing the two common xation methods. A total of 50 patient Materials and methods: s who met the inclusion criteria were included in the study and were divided into 2 groups- Group A comprised those patients treated with tension band wiring(n=25) while Group B patients were treated with malleolar screw xation(n=25). In cases of bimalleolar fractures, lateral malleolus was xed with one-third tubular plate. All post-operative patients were evaluated at 2weeks, 6weeks, 12weeks, and 6months. The mean t Results and conclusion: ime to radiological union was 9.32weeks in group A and 12weeks in group B with a highly signicant p-value. The nal functional outcome was compared by Modied Olerud & Molander Score. 23 (92%) cases in group A and 20(80%) cases in group B had excellent to good results (P=0.007). Tensionband was technically more advantageous than malleolar screw and hence provided earlier bone union and better functional outcome