Abstract

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.