A study of functional outcome of bimalleolar fracture after internal fixation

Abstract

Aim: To analyse the functional outcome of Ankle joint after Internal Fixation of bimalleolar fracture. Materials and Method: This is prospective study done in Krishna medical college and hospital, karad (Satara). In our study 40 cases of bimalleolar ankle fracture were analysed. Classifications used are Lauge-Hansen Classification and Denis-Weber Classification. Road traffic accident, Twisting injury and fall from height are 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. Results: 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. Conclusion: Anatomical reduction and stable internal fixation restore the articular congruity of ankle joint results in high percentage of excellent and good results.