To compare outcome of CC screw and TBW in medial malleolar fractures. Materials and Method: This is a prospective (From March 2018 to September 2018) study of 40 medial malleolar fractures treated at Krishna institute of medical sciences deemed university, Karad, Satara. It includes newly diagnosed patients with medial malleolar fractures admitted in hospital. Follow up period was till 24 months/ 6 months. Results: In this study, it showed that excellent and good results were achieved in 65% in CCS category and 95% in TBW category, Baird and Jackson scoring system used. Conclusion:We concluded that TBW is the better modality of fixation than CC screw for medial malleolar fractures resulting in excellent functional outcome of the ankle joint after open reduction and fixation.