J Korean Fract Soc.  2004 Oct;17(4):319-322. 10.12671/jkfs.2004.17.4.319.

Modified Tension Band Wiring using Cortical Screw for Medial Malleolar Fractures

• Choi HR
• Doh HW
• Kim BH
• Kim KH
• Park JS
• Song JM

• KMID: 2015366
• DOI: http://doi.org/10.12671/jkfs.2004.17.4.319

Abstract

PURPOSE: To evaluate the clinical results of modified tension band wire technique using cortical screw for treatment of displaced medial malleolar fractures of the ankle.
MATERIALS AND METHODS
From January 2001 to January 2003, 24 patients were treated by modified tension band wiring using cortical screw for medial malleolar fracture. The follow-up period was 12~35 months (average 18 months). There were 13 males and 11 females, and the mean age was 46 years. Fractures were classified by Lauge-Hansen's classification. The results were analyzed by Meyer and Kumler's criteria.
RESULTS
There were 13 cases (54%) of excellent, 9 cases (38%) of good, and one case of fair because of limitation of motion of the ankle joint and one case of poor which showed post-traumatic arthritis of the ankle.
CONCLUSION
Modified tension band wire technique using cortical screw can be an effective operative method for the treatment of displaced medial malleolar fractures of the ankle.

Keyword

Ankle; Medial malleolar fracture; Modified tension band wiring; Cortical screw

MeSH Terms

Ankle
Ankle Joint
Arthritis
Classification
Female
Follow-Up Studies
Humans
Male