Objective:To study the results of 20 patients with syndesmotically stable bimalleolar fractures of the ankle treated surgically with intramedullary malleolar screw fixation of the lateral malleoli. Methods and result:The patients were reviewed every four weeks postoperatively to assess the clinical,radiological and functional improvement.All except one patient showed signs of complete union with good to excellent functional outcome. Conclusion:We conclude that Intramedullary screw fixation of lateral malleoli in bimalleolar frac–tures is a reliable and stable technique with very minimal chances of failure and wound complica–tions.