Comparison of Partially Threaded and Fully Threaded 4mm Cancellous Screws in Fixation of Medial Malleolar Fractures

Document Type : RESEARCH PAPER


1 Orthopedic Research Center, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

2 Orthopedic Research Center Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran


Background: Several devices have been described for fixation of displaced medial malleolar fractures. Fully
threaded cancellous screws engaging the bone may provide advantages compared to partially threaded screws.
This study was designed to compare the clinical results of fully and partially threaded 4 millimeter cancellous
screws in fixation of medial malleolar fractures.
Methods: In a randomized clinical trial study 44 patients with displaced closed medial malleolar fractures were
randomly divided into two groups. Two fully threaded four millimeter cancellous screws were used for fracture
stabilization (FT group) in the first group, while, the second group was operated by use of two partially threaded four
millimeter cancellous screws (PT group). The clinical outcomes and complications were compared in two groups at
one year follow up.
Results: Nineteen patients in FT group and 21 in PT group were present at final follow up. Nonunion was not
developed in either group but two cases (9%) of delayed union occurred in PT group. The rate of postoperative
infection and symptomatic hardware were not statistically different. Functional assessment using AOFAS, MOXFQ
and VAS scores showed no significant difference between the two groups.
Conclusion: Both fully and partially threaded 4 mm cancellous screws can be considered as acceptable devices for
the fixation of medial malleolar fractures with good and comparable clinical results.
Level of evidence: I


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Volume 8, Issue 6
November and December 2020
Pages 710-715
  • Receive Date: 02 February 2020
  • Revise Date: 18 July 2020
  • Accept Date: 01 August 2020