COMPARISON OF FUNCTIONAL AND RADIOLOGICAL OUTCOMES BETWEEN CANNULATED CANCELLOUS SCREW FIXATION AND TENSION BAND WIRING IN CLOSED MEDIAL MALLEOLUS FRACTURES

Introduction: Medial malleolus fractures are among the most common fractures encountered around the ankle joint. This study was performed to assess the functional outcome between cannulated cancellous screw fixations versus tension band wiring in managing these fractures. Method: A total of 30 patients were selected and were randomly segregated into two groups, Group A and Group B. Group A patients were treated with CC Screw fixation, and Group B patients were treated with TBW. The study was conducted during a time frame of 2 years between 2019- 2021. Results: Group A was treated with a CC screw. At the end of 8 weeks, all the patients in this group showed signs of healing at the fracture site. Post-op functional and radiological outcomes were assessed with Olerud and molander scoring. Out of 15 patients, 6 had excellent outcomes, 5 had good results, 3 had fair outcomes, and 1 had a poor outcome. Group B: TBWAt the end of 7 weeks all the pts in this group showed signs of healing at the fracture site. Out of 15 pts, 8 had an excellent outcome, 5 had good results, and 2 had fair outcomes. Conclusion: Treating medial malleolus fractures with either CC screws or TBW produced good results, with a good range of motion and returning to their daily activities. The study shows fractures fixed with CC screws had 40% excellent outcomes, and those fixed with TBW produced 53.3% excellent outcomes at the end of 1 year.