Online ISSN: 2515-8260

Keywords : Bimalleolar Ankle Fractures

A Clinical Study Of Functional Outcomes Of Bimalleolar Ankle Fractures

Dr. Billa Mahender Reddy

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 8, Pages 152-160

Background: About 9% of all adult fractures are ankle fractures. The primary method of therapy for such injuries is open reduction and internal fixation. However, problems might arise after surgery, and the results are not always as expected. To assess the functional results of bimalleolar ankle fractures treated with open reduction and internal fixation, this study was conducted. The present study aimed to analyze the surgical management of bimalleolar ankle fractures reported to our tertiary care hospital.
 Methods: Clinical and radiological examinations were performed on the patients who arrived at the casualty and outpatient departments. All instances underwent closed reduction and plaster of Paris immobilization. Check x-rays were taken and planned for surgery accordingly. Planning for reduction and selecting the right implants are both aided by high-quality radiographs. In a few situations, radiographic images of the opposite ankle are obtained for comparison.
Results: The overall function was found to be excellent and good in 40% of cases with scores of > 81% poor scores were found in only n=2(6.66%) of all the cases details depicted in table 3. Excellent results were found in most cases of SER followed by good results. N=2 cases with poor results in this category of fractures. In PER cases results were excellent and good no case of poor results. The same pattern is seen in SAD cases. However, in PAB cases one case was with fair results.
Conclusion: supination external rotation is the most common type of injury in cases of bimalleolar ankle fractures and this was also associated more commonly with dislocations and complications. Pronation-External Rotation type produced Excellent and good results with minimal rate of complication.


T.Zeeshan Muzahid, T. Zahid Hussain

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 1192-1204

Background:Orthopaedic doctors treat ankle fractures frequently. Few studies have studied functional recovery after ankle fracture surgery, and none have analysed predictors. Ankle injuries can be caused by low-energy rotational forces in sports, a misstep in daily activities, or RTA. Young and middle-aged are more at risk. Early and optimal ankle function restoration is a prerequisite. Surgical reduction and internal fixation are used to treat most ankle fractures. In ankle fractures, the anatomic repair is the goal. For ankle fractures, open reduction and internal fixation are typical. This study analyses the causes, patterns, and surgical outcomes of ankle fractures.
Materials and Methods: It is a prospective study which was carried out from December 2017 to December 2018 in Great Eastern Medical School & College. In this study period 30 cases of ankle fractures, meeting the inclusion and exclusion criteria were treated by open reduction and internal fixation using appropriate implants.
Results: Most incidences (38%) were in the 31-40 age group. In this study, the right ankle was involved in 35 (70%) cases and the left in 15.0 (30%). 9 (30%) of our cases were between the ages of 31-40, followed by 8 (26.7%) between 41-50. The eldest patient was 65. 42.07 was the mean age. In this series, the right ankle was involved in 20 (66.7%) instances and the left ankle in 10 (33.3%) cases. 26.7% of fracture patients were farmers and 20% were housewives. 14 (46.7%) instances exhibited supination-external rotation damage, followed by 8 (26.7%) pronation-abduction injury. In this study, 30 bimalleolar ankle fractures were treated by open reduction and internal fixation. Excellent results were seen in 8 (26.7%) patients, good in 17 (56.7%), and fair in 5. (16.7 percent). No patient did poorly. Good to outstanding functional outcomes in 83.4% of cases and fair results in 16.6%.
Conclusion: Surgery for bimalleolar ankle fractures yields good functional results. Early weight bearing and mobility are obtained. Anatomical reduction and articular congruence restoration are necessary for all intraarticular fractures, especially if a weight-bearing joint like the ankle is involved. Openreduction and internal fixation restore ankle joint congruency.