Non-union of medial malleolar fractures

Abstract

Aim: To assess the functional and radiological outcome of Nonunion medial mallolar fractures treated surgically with cc screw fixation and bone grafting.Materials and Methods: A prospective type of study conducted in our institute with 23 patients, 15 male and 8 female from august 2019 to September 2021. patients who has no signs of union radoilogically with severe disabling symptoms that affects their day to day activities with history of trauma to the ankle before 3 months were assessed clinically and confirmed radiologically as medial malleolar nonunion and were treated surgically with corticocancellous screw fixation and bone grafting postoperatively patients were regularly assessed clinical as well as radiologically outcome was measured using AOFAS and OMAS scoring.Results: Out of 23 patients who were taken up for final study 18 patients got excellent results, 3 patients with good and 2 patients with fair outcome. AOFAS score of 96.53 and OMAS score of 94.86Conclusion: We conclude from our study that good functional outcome can be obtained for medial malleolus nonunion treated by open reduction with corticocancellous screw fixation and bone grafting followed by regular postoperative follow up and physical therapy.