Abstract

Aim:To study the functional outcome and results of surgical treatment of Bimalleolar fractures of the ankle. Introduction: Malleolar fractures are one of the most common fractures in orthopaedic traumatology. Malleolar fractures necessitate accurate reduction and stable internal xation. Materials And Methods: 30 patients with fresh Bimalleolar fractures were studied. The fractures were classied based on Lauge–Hansen's classication in adults. Surgical techniques used were open reduction and internal xation of lateral malleolus with semi-tubular plate or Tension band wiring and then the medial malleolus with malleolar screws or Tension band wiring. Results: At the end of the study, excellent to good results were seen in 23(76.7%) cases, 6(20%) cases had fair results, and 1(3.3%) had unfortunate results. Conclusion: 1. Good anatomical reduction is essential for good clinical outcomes, irrespective of the type of fracture. 2.The results are satisfactory in 90% of patients treated by open reduction and internal xation.

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