Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 6 , ISSUE 2 ( July-December, 2019 ) > List of Articles

CASE REPORT

Nonunion of Medial Malleolus Fracture: Tension Band Wiring is an Effective Option Even in Failed Surgeries

Dilip D Tanna, Prasoon Kumar

Keywords : Autograft, Medial malleolus, Neglected ankle, Nonunion, Tension band, Tension band wiring

Citation Information : Tanna DD, Kumar P. Nonunion of Medial Malleolus Fracture: Tension Band Wiring is an Effective Option Even in Failed Surgeries. J Foot Ankle Surg Asia-Pacific 2019; 6 (2):52-56.

DOI: 10.5005/jp-journals-10040-1111

License: CC BY-NC 4.0

Published Online: 01-06-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Nonunions of medial malleolus (MM) are a relatively rare entity, especially after previous surgical stabilization. These are routinely managed with compression screws and autografts. Usage of tension band wiring (TBW) is very common in acute MM fractures; however, its usefulness in nonunion scenarios has been sporadically reported. We treated a 7-year-old MM nonunion with TBW, which united well after 5 months of follow-up. We present this technique highlighting its critical steps and additionally review previous cases that were treated similarly with good outcomes.


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