Medial malleolus screw fixation and fibular plating in bimalleolar ankle fractures

Abstract

Background: Bimalleolar fractures involving breaks at the lateral and medial malleolus of ankle are frequently occurring fractures at the ankle joint and almost always require surgery in order to achieve optimal function and weight bearing on the affected limb. Objectives: To evaluate use of medial malleolus screw fixation and fibular plating as a treatment modality of closed bimalleolar fractures in adults. Material and methods: Prospective observational study done at our institute on 40 patients that were assessed at 6 months post operatively using Olerud and Molander Score (OMAS) and radiologically. Results: According to OMAS scoring system, out of our 40 patients 20(50%) had excellent results 12(30%) had good results 4(10%) had fair results Thus, having positive outcomes of 90% Conclusion: Displaced closed bimalleolar fractures should be treated with Cannulated Cancellous screw for medial malleolus and semitubular plate fixation with screws for lateral malleolus fractures.