DOI: 10.36347/sjams.2023.v11i03.003

Pages: 502-505

Background: Ankle joint is hinged synovial joint. Ankle is a close fitting hinge-like joint of which two parts interlock like mortise (the box formed by the distal end of Tibia and Fibula) and the tenon (upward projecting Talus). Ankle fractures are very common. The various surgical modalities include fixation with cancellous lag screws, malleolar screw, tension band wiring, semi-tubular plating, fixation with rush pin. These operative methods restore the anatomy and contact loading characteristic of the ankle including easier rehabilitation, early mobilization and earlier weight bearing. Aims: To evaluate the functional outcome of surgical management of the bimalleolar fractures of ankle. Material and Methods: Present study was prospective study, carried out among patients with bimalleolar fractutes of the ankle coming to Orthopaedic department of Tertiary health care centre for duration of November 2020-22. Data analysis: Following the above procedure, the findings were recorded in the proforma. These findings were entered in Microsoft Excel 2010. The results were compiled by using suitable tables and graphs wherever necessary. The variations were analysed as a percentage of the total and reported. Data analysis was done with the help of openepi software version 2.3.1. Results: The mean age of the patients was 39.86 ± 10.67 years. Majority of the patients 24 (80%) included in the study were male. Almost 15 (50 %) patients had pain score of 1 and 9(30%) patients had zero score. On range of movement 93.3% had zero score and 6.7% had score 2. On final objective scoring majority 73.3% had good, 20% had fair and 6.7%had poor outcome. Conclusion: Supination-external rotation injury is the most common type of bimalleolar ankle fracture and also common type associated with dislocations and complications. Good functional outcome was achieved by restoring sufficient stability and providing good mobility at the ankle joint. Anatomical reduction of the fracture is associated