A study of functional outcome of bimalleolar fracture with syndesmotic injury after open reduction and internal fixation in young adults

Abstract

Malleolar injuries when combined with syndesmotic injuries are widely regarded as some of the most common and severe fractures that affect the lower extremities. These injuries are of great significance because the ankle joint bears the weight of the body, making it prone to instability and difficulty in locomotion. Open reduction and internal fixation have become the preferred treatment option for the majority of unstable bimalleolar fractures, as this surgical method restores the ankle's anatomy, biomechanics, and contact loading characteristics.Prospective study of 20 patients of bimalleolar fracture was done in MMIMSR, Mullana, Ambala who were surgically managed by TBW/screw for medial malleolus fixation and plating for fibula.: According to Baird and Jackson scores, out of 20 cases 65% had good to excellent result, 55% had fair result and 10% had poor functional outcomeAchieving accurate anatomical reduction, restoring articular congruity, and timely surgical fixation using appropriate implants can lead to favourable functional outcomes.