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.
Highlights
Ankle joint is usually highly susceptible to injuries
The French had written extensively on ankle injuries beginning with Baron, Dupuytren and Maisonneuve, but it was not until 1922 that a proper understanding of Classification and the Mechanism of the ankle fractures was published in a paper by Ashurst and Bromer [2,3]
This study was done to evaluate the functional outcome of ankle joint after internal fixation of bimalleolar fracture, those who are operated with different modalities
Summary
Ankle joint is usually highly susceptible to injuries. This is because it is relatively mobile and bear much of the stresses associated with weight bearing. The ankle joint supports more weight per unit area than any other joint in the body [1]. Many of the ankle injuries are both bony and ligamentous components. Magnetic resonance imaging nowadays is useful for diagnosing ligamentous injury and repairing, while treating this fracture. The French had written extensively on ankle injuries beginning with Baron, Dupuytren and Maisonneuve, but it was not until 1922 that a proper understanding of Classification and the Mechanism of the ankle fractures was published in a paper by Ashurst and Bromer [2,3]
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