A Study of Functional Outcome of Bimalleolar Fracture

Abstract

The results of bimalleolar ankle fractures are better with emphasis on anatomical reduction of fracture, stable internal fixation, regaining full fibular length and early active pain free mobilization, since the advent of A.O principles of management. This study analyzes the functional outcome of Ankle joint after Internal Fixation of bimalleolar fracture. This study was done to evaluate the functional outcome of ankle joint after internal fixation of bimalleolar fracture, those which were operated with different modalities. Classifications used were Lauge-Hansen Classification and Danis-Weber Classification. Road traffic accident, Twisting injury and Fall from height were major mode of injury. Cannulated cancellous screw, Malleolar Screw and TBW used for medial malleolus and semi tubular plate, cannulated cancellous screw and Rush Nail used for fibula are common mode of fixation. According to Baird and Jackson scoring system out of 40 cases, 92.5% were excellent and good, 5% were fair and 2.5% were poor. Anatomical correlations suggest reduction and stable internal fixation restore the articular congruity of ankle joint results in high percentage of excellent and good results.