A comparative study of functional outcome of ankle joint after medial malleolar fractures treated with ORIF with TBW and CC screws

Abstract

Aim: To analyse the functional outcome of Ankle joint after medial malleolar fracture treated with ORIF with TBW and CC Screws. Materials and Method: This is prospective study done in Krishna medical college and hospital, karad (Satara). In this study 30 cases of Medial malleolar ankle fracture were analysed. Muller Classification used. Road traffic accident, Twisting injury and fall from height are major mode of injury. 4.0 mm Cannulated cancellous screw and TBW were used for fixation. Results: According to Baird and Jackson scoring system out of the 30 patients treated, 86.66% had excellent to good results and 13.66% had fair results. On comparing the results in both groups, better results were seen in TBW group as compared to CCS group. Conclusion: In this study we observed that the functional outcome of Ankle joint after medial malleolus fracture treated with open reduction and internal fixation with tension band wiring gives better results in range of motion and union as compared to open reduction and internal fixation with 4.0 mm cannulated cancellous screws. Thus, we conclude that open reduction and internal fixation with tension band wiring give better functional and radiological outcomes as compared to cannulated cancellous screws.