Evaluation of Surgical Outcomes in Closed Bimalleolar Ankle Fractures: A Prospective Analysis of Union, Complications, and Functional Recovery

Background: Pott’s fractures, particularly in the context of unstable ankle injuries, pose significant challenges in orthopedic practice. Surgical intervention, specifically open reduction, and internal fixation (ORIF) is often required to restore joint stability and function. This study evaluates the outcomes of surgical management in closed bimalleolar ankle fractures. Methods: This prospective study involved 30 patients with closed bimalleolar ankle fractures, managed surgically at SRG Hospital and Medical College, Jhalawar, from April 2022 to January 2024. Patients were assessed for postoperative complications, functional outcomes using the Olerud-Molander Ankle Score, and time to radiological union. Results: The majority of patients (83.33%) experienced no postoperative complications. Functional outcomes were favourable, with 40.00% of patients achieving an excellent score and 33.33% achieving a good score. Radiological union was observed in 73.33% of patients within 8-10 weeks, indicating a rapid recovery associated with surgical intervention. Conclusion: ORIF is an effective approach for managing closed bimalleolar ankle fractures, offering excellent functional recovery, minimal complications, and a swift return to mobility. Surgical intervention should be prioritized in cases of unstable ankle fractures to optimize patient outcomes.