Management of medial malleolar fractures by tension band wiring: A prospective study

Abstract

Medial malleolar fractures are most common injury seen in day today practice. Management of undisplaced fracture is plaster of Paris cast application. And for the fractures displaced more than 2 mm needs surgery. Here we are done a study to know the clinical and radiological outcome in the management of the medial malleolar fractures by tension band wiring technique. We studied 14 cases of transverse medial malleolar fractures admitted in our hospital from January 2010 to October 2014 managed by open reduction and internal fixation with tension band wiring technique. Postoperatively we evaluated the patients for the clinical and radiological outcome at 4, 8, 12 and 24 weeks. Medial malleolar fractures are most common type of ankle fracture. If the fracture is transverse in nature the choice of procedure is open reduction and internal fixation using tension band wiring.