IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-2-17984 Original Research Paper SURGICAL MANAGEMENT OF BIMALLEOLAR FRACTURES OF ANKLE JOINT CHUNCHESH M.D Dr. DR. H.P.MALLI Dr. February 2019 8 2 01 02 ABSTRACT

 

BACKGROUND: Ankle joint is highly congruous and any disturbance of the normal articular relationship results in arthrosis. Malleolar fractures are one of the most common fractures in orthopaedic traumatology Determination of ankle stability is critical when planning fracture management. Stable fractures can be treated conservatively with good results but unstable fractures have better outcome with surgical treatment. As with all intra articular fractures, malleolar fractures need accurate reduction and stable internal fixation. METHODS: Thirty patients with fresh bimalleolar fractures were studied. Then the patient’s radiographs were taken, both anteroposterior and lateral views of the ankle joints. Patients were put on a below knee pop slab to alleviate pain. The fractures were classified based on Lauge–Hansen’s classification. RESULTS: Supination external rotation type was the most common constituting 40% of the cases. Most common complication faced was postoperative skin infection in 10% patients. At the end of the study excellent to good results were seen in 23 (76.7%) cases, 6 (20%) cases had fair results and 1 (3.3%) had poor result.