Abstract: Background: With the advent of A.O principles of management, the results of bimalleolar ankle fractures are better with emphasis on anatomical reduction of fracture, stable internal fixation, regaining full length of fibula and early active pain free mobilization. This study was done to analyse the results of surgical management of bimalleolar ankle fractures in a tertiary care hospital.
Materials and Methods: A prospective study was done in a tertiary care hospital in the year 2020 for 6 months. Cases with bimalleolar ankle fractures in the age group of 20-60 years were included in the study. Cases with systemic infection, open injury with dislocation, skin diseases and previous arthrodesis at target level. The Lauge-Hansen classification and AO classification were used to evaluate the fractures radiologically. The patients who were presented in the casualty and out-patient department were examined clinically and radiologically. Outcome was assessed subjectively and objectively with scoring system and graded accordingly. Post-op complications were also noted.
Results: In our study, 30 cases of bimalleolar ankle fractures were analysed. Classification used was Lauge-Hansen and A.O. classification. Road traffic accident was major mode of injury. Average injury surgery interval was 6 days. Malleolar screw for medial malleolus and plate and screws for fibula was common mode of fixation. Results were analysed using Olerud and Molendar subjective and objective scoring. The subjective scoring was excellent and good in 80% of cases and objective scoring was good in 22 cases.
Conclusion: Accurate anatomical reduction and fixation results in good functional outcome.
