Waly, A., Motawea, B., Tantawy, M., Elkasaby, A. (2025). COMPARATIVE STUDY OF THE TREATMENT OF MEDIAL MALLEOLAR ANKLE FRACTURES BY CLOSED REDUCTION AND PERCUTANEOUS FIXATION VERSUS OPEN REDUCTION AND INTERNAL FIXATION. ALEXMED ePosters, 7(1), 63-64. doi: 10.21608/alexpo.2025.371133.2119
Ahmed Hassan Waly; Bahaa Ahmed Motawea; Mahmoud Khairy Tantawy; Abdulaziz Mohamed Abdulaziz Elkasaby. "COMPARATIVE STUDY OF THE TREATMENT OF MEDIAL MALLEOLAR ANKLE FRACTURES BY CLOSED REDUCTION AND PERCUTANEOUS FIXATION VERSUS OPEN REDUCTION AND INTERNAL FIXATION". ALEXMED ePosters, 7, 1, 2025, 63-64. doi: 10.21608/alexpo.2025.371133.2119
Waly, A., Motawea, B., Tantawy, M., Elkasaby, A. (2025). 'COMPARATIVE STUDY OF THE TREATMENT OF MEDIAL MALLEOLAR ANKLE FRACTURES BY CLOSED REDUCTION AND PERCUTANEOUS FIXATION VERSUS OPEN REDUCTION AND INTERNAL FIXATION', ALEXMED ePosters, 7(1), pp. 63-64. doi: 10.21608/alexpo.2025.371133.2119
Waly, A., Motawea, B., Tantawy, M., Elkasaby, A. COMPARATIVE STUDY OF THE TREATMENT OF MEDIAL MALLEOLAR ANKLE FRACTURES BY CLOSED REDUCTION AND PERCUTANEOUS FIXATION VERSUS OPEN REDUCTION AND INTERNAL FIXATION. ALEXMED ePosters, 2025; 7(1): 63-64. doi: 10.21608/alexpo.2025.371133.2119
COMPARATIVE STUDY OF THE TREATMENT OF MEDIAL MALLEOLAR ANKLE FRACTURES BY CLOSED REDUCTION AND PERCUTANEOUS FIXATION VERSUS OPEN REDUCTION AND INTERNAL FIXATION
1Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Alexandria University.
2Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, University of Alexandria.
Abstract
Medial malleolus fractures are involved in approximately 50% of all ankle fractures and are often associated with lateral or posterior malleolar fractures, occurring less frequently in isolation. Treatment of medial malleolus fractures aims to restore ankle stability and function, ensuring anatomical alignment to prevent post-traumatic degenerative changes. Traditionally, open reduction and internal fixation (ORIF) have been considered the gold standard, providing excellent visibility and fixation. However, percutaneous fixation methods are gaining traction as minimally invasive alternatives, potentially reducing soft tissue complications while maintaining efficacy. This study explored the comparative effectiveness of closed reduction with percutaneous fixation versus ORIF in achieving optimal clinical and radiological outcomes for medial malleolar fractures.
AIM OF THE WORK: The aim of this study was to compare the outcomes of closed reduction and percutaneous fixation with those of open reduction and internal fixation in the treatment of medial malleolar fractures. This comparison focuses on radiological alignment, functional recovery, and complication rates to determine the most effective and safe approach.