A Retrospective Study of Functional Outcome of Close Bimalliolar Fracture Treated by Open Reduction and Internal Fixation by Various Methods at Tertiary Centre

Dr. Narendra Singh, Dr. Abhinav Bhardwaj, Dr. Arun Vaishy, Dr. Kalika Vaish

Abstract: Background: Ankle injuries gain importance because body weight is transmitted through it and locomotion depends upon the stability of this joint. Unstable displaced and open fractures require open reduction internal fixation. Objectives were retrospective study of functional out come and results of surgical treatment of bi-malleolar fractures and to know the complications of open reduction and internal fixation in bi- malleolar fractures. Methods: Total 125 patients were studied from January 2019 to December 2022. They were classified according to Lauge Hansens classification and treated according to the Arbeitsgemeinschaft f?r Osteosynthesefragen (AO) system. Assessment of the outcome was done using the scoring system of Baird and Jackson which is based on subjective, objective and radiological criteria. Results: Mean follow up was 3.5yr in between January 2019-December 2022. Out of 125 patients evaluated, overall good to excellent results were obtained in 95 (76%) patients. The results were fair in 15 (12%) and poor in 15 (12%) patients. There were no intraoperative complications. The post-operative complication we came across is superficial skin infection in 20 (16%) patients. Conclusion: Anatomical reduction is essential in all intra articular fractures, more so if a weight bearing joint like ankle is involved open reduction and internal fixation guarantee high standard of reduction besides eliminating chances of loss of reduction. The fibular length has to be maintained for lateral stability of the ankle. Chances of non-union of medial malleolus interposition of the periosteum and deltoid ligament are avoided. Poor clinical results are found to be associated with unsatisfactory surgical reduction.

Keywords: Ankle injuries, Ankle surgery, Bone screws, Fractures, Complications, Fracture fixation, Treatment outcome

How to Cite?: Dr. Narendra Singh, Dr. Abhinav Bhardwaj, Dr. Arun Vaishy, Dr. Kalika Vaish, "A Retrospective Study of Functional Outcome of Close Bimalliolar Fracture Treated by Open Reduction and Internal Fixation by Various Methods at Tertiary Centre", Volume 14 Issue 11, November 2025, International Journal of Science and Research (IJSR), Pages: 1798-1803, https://www.ijsr.net/getabstract.php?paperid=SR251125204807, DOI: https://dx.doi.org/10.21275/SR251125204807