Isolated medial malleolar non-union, a cancellous screw with Kirshner wire as a valid and practical option: a case report

Abstract

Medial malleolar fracture non-union are relatively uncommon. Not many studies have been found in the literature concerning its management, the great majority of studies in the orthopedic literature describe the use of either two cancellous screws or tension band wiring for its management. The use of one cancellous screw with Kirshner wire has not been described in the literature for the management of medial malleolar non-union. In this article we present two cases of medial malleolus non-union successfully managed with a sole cancellous screw associated with a Kirshner wire in two patients highlighting its possible advantages and a review of the literature on the management of medial malleolar non-union.