Malleolar Screw Versus Tension-Band Wiring In Treatment For Closed Fracture Of Medial Malleolus | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 29, Issue 2, June 2016, Pages 8-15 | ||
| Authors | ||
| Haitham Mohammed; Isam Al-Azzawi | ||
| Abstract | ||
| Introduction: Large, one-piece, medial, malleolar fractures are usually fixed with single or two lag screws. The tension band wiring is indicated for fixation of small medial fragments, avulsion fractures, or osteoporotic bone. Aim of study: To compare between two methods of internal fixation of displaced closed fractures of medial malleolus malleolar screw and tension band wiring. (comparative study between malleolar screw & TBW, in treatment for displaced closed fractures of medial malleolus) Patients & Methods: A cross sectional study carried out in Al-Yarmouk Teaching hospital from April, 2012 to June, 2013 on twenty patients with displaced closed fractures of medial malleolus treated by open reduction and internal fixation with either malleolar screw (I) or with tension-band wiring (II) divided equally with ethical consideration. After surgery, all the patients were reviewed at 10 to 14 days, six weeks, three months, six months and one year after operation. At each assessment we perform a physical and radiological examination included in a prepared questionnaire for each patient. Results: No significant differences were observed between two groups of the patients regarding age, gender, fracture type and etiology. The mean time for radiological bone union was 11.8 weeks in group I patients and 9.4 weeks in group II patients (p=0.03). Excellent and good results were achieved in 80% in group I patients and 90% in group II patients. (p=0.049). Assessment of complications revealed no significant differences except for delayed union that was more prevalent among group I. Conclusions & Recommendations: Tension-band wiring more valid option for internal fixation of medial malleolar fractures that may be more available and its usage could translate into overall cost saving when applied to the large number of ankle fractures treated surgically in our country. | ||
| Keywords | ||
| Malleolar Screws; Tension band wiring; Malleolus | ||
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