Malleolar screw as an adjunct to tension band wiring in medial malleolar fractures
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
50 cases of medial malleolar fractures were treated by open reduction and internal fixation using malleolar screw with tension band wiring in a tertiary care hospital of Punjab. Most of these patients were males { 35 ( 70%)}, in the age group of 22-70 years of age (average age 44.4 years) with road side accident (80%) as the common cause. Bimalleolar fracture was the most common { in 30 (60%) cases} presentation. The fracture was fixed accordingly and pop back slab was given till 10th postoperative day i.e. the day of stitch removal. Partial weight bearing was allowed within 3-6 weeks. Solid union was achieved in 8- 12 weeks. 92% of the cases showed good to excellent results. From the present study it was observed that the tension band wiring along with malleolar screw has a well established advantage over the tension band wiring alone/malleolar screw alone/ kirschner wire fixation alone and also over the conservative methods of treatment of medial malleolar fractures like pop cast application. In the present method the rigid fixation is achieved through screw and the incidence of wire back out, pin tract infection, migration of pins is totally eliminated. Since this method provides rigid fixation and obviates the need of plaster cast immobilization & also the weight bearing is early as compared to the other methods of treatment of medial malleolar fractures; is a better method of open reduction & internal fixation.
Authors and Affiliations
Kamal Kumar Arora, Priti Chaudhary, simranjit Singh
Keywords
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