Tension Band Wiring Versus Cannulated Screws in Fixation of Medial Malleolus in Ankle Fracture

Hawler Medical University

Status: Completed

Conditions: Medial Malleolus Fracture

Treatments: Procedure: Cannulated screws; Procedure: Tension band wires

Study type: Interventional

Funder types: Other

Identifiers

NCT04301037

HMU-Sherwan7

Details and patient eligibility

About

This is a prospective randomized study conducted on 30 patients with an age spanning between 20 and 55 years. Half of the sample was treated by tension band wiring for closed medial malleolar fractures, and the other half by two cannulated screws. The patients were assessed at (6w-3months and 6months) for clinical and radiological union and evaluated functionally (12 months) using modified Olerund and Molander scoring system.

Enrollment: 60 patients

Sex: All

Ages: 20 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patients aged from 20-55 years.
2. Isolated or bimalleolar ankle fractures.
3. Closed fractures.

Exclusion criteria

1. Patient with poor bone quality on x ray (radiological osteopenia, thinning of the cortices, loss of trabecular definitions and previous insufficiency fractures)
2. Type D isolated medial malleolus, supination adduction (vertical malleolar) fractures.
3. Comminuted fractures.
4. Skeletally immature patients.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Tension band wiring

Active Comparator group

Description:

This group was treated by k-wires fixation and tension band wiring

Treatment:

Procedure: Tension band wires

Cannulated screws

Active Comparator group

Description:

This group was treated by 2 cannulated screws

Treatment:

Procedure: Cannulated screws