TO STUDY THE OUTCOME OF SURGICALLY MANAGED MEDIAL MALLEOLAR FRACTURES OF ANKLE BY SCREW FIXATION VS. TENSION BAND WIRING IN ADULTS

BACKGROUND Fractures involving the ankle mortise are one of the most common injuries in lower extremity. It has an incidence rate of 137 fractures per 1, 00,000 people each year. There is an increase in incidence in males in the younger age groups, whereas the incidence for women increases from middle age. Surgical reduction and internal fixation has become the mainstay of treatment for most of the unstable medial malleoli fractures. The various surgical modalities include fixation with cancellous lag screws, malleolar screw, and tension band wiring. MATERIALS AND METHODS Patients of both the sexes belonging to the adult age group presenting with ankle fractures and satisfying the inclusion criteria, presenting to Konaseema Institute of Medical Sciences and Research Foundation, Amalapuram during the period of (September 2014 to October 2016) are included. DISCUSSION The average age was 40.1 years (screw fixation) and 42.6 Years (TBW) with a range of 18 to 80 years. Majority of the cases had Supination-external rotation injury, followed by supination-adduction injury. Most of the patients were discharged after 10-11 days of operation after suture removal. They were kept in a below knee slab and advised not to bear weight and to come for follow up after 4 weeks. CONCLUSION Although our study period is short, and number of cases taken were less, with in the time frame the present study had encouraging results. We conclude that both screw fixation and TBW can be used for treating fractures of medial malleolus