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Ankle fractures are one of the commonest fractures encountered by an Orthopaedic surgeon with majority being treated by open reduction and internal fixation. The purpose of this study, on Bimalleolar fractures of ankle is to evaluate the functional outcome and results obtained after different modalities of treatment. Material and methods: 22 patients with bimalleolar fractures were treated between January 2016 and January 2017 at a tertiary care hospital. The inclusion criteria were closed bimalleolar fractures in skeletally matured patients. Patients with compound fractures, pilon fractures and those with syndesmotic injuries were excluded from the study. Plating was done for all the fibula fractures while the medial malleolus fractures were treated using Modified Tension band technique. Results: The mean age of patient was 37.3 years. As per the Lauge-Hansen classification system, 12 (54.6%) cases had supination external rotation type of injury which was most common. Radiological union was seen at 14±4.6 weeks in 13 (59.1%) cases. One (4.5%) case had superficial infection. There were no cases of non-union or mal-union in the present study. As per the Baird Jackson scoring system, 12 (54.6%) cases had excellent results, 7 (31.8%) had good, 2 (9.1%) had fair and 1 (4.5%) of the cases had poor results respectively. Conclusion: Open reduction and internal fixation in bimalleolar fractures in the form of plating and tension band wiring provides a much favorable outcome.

Functional results of bimalleolar ankle fractures treated by plating and Tension band wiring technique: A prospective study