Bimalleolar Fractures in Adults: Epidemiological and Therapeutic Aspects at Kati University Hospital Center

The aim of this work was to study the epidemiological and therapeutic aspects of bimalleolar fractures in the Orthopedics-Traumatology Department of the Kati University Hospital Center. This was a descriptive retrospective study of a series of 63 recent bimalleolar fractures collected between June 1, 2016 and May 31, 2019. The mean age of the patients was 40.68±14.32 years with extremes of 18 and 75 years. The age group of 21 to 40 years was the most affected with 50.8% of cases. Male sex was predominant (sex ratio: 2). Road accidents and domestic accidents (falls) were the main etiologies of these fractures. Weber's C-Type was predominant with 49.2%. Fractures were open in 25.3% of cases. Treatment was surgical (66.7%) or orthopedic (33.3%). K-wire was the most used implant for both the lateral malleolus (28 cases) and the medial malleolus (19 cases). The evolution was favourable in 64 cases (62.74%). Infection was the most common secondary complication (9.5%). Overall algofunctional outcomes were good in 84.3%. Bimalleolar fractures are frequent and severe traumatic injuries. Their treatment should restore the anatomy and function of the ankle and prevent the harmful occurrence of complications.