Functional Outcome of Bimalleolar Ankle Fracture Treated with Open Reduction and Internal Fixation

Background: Bimalleolar ankle fractures are common orthopaedic injuries that often require surgical intervention due to their unstable nature. These bimalleolar fractures significantly impair mobility and are associated with long-term complications such as chronic pain and arthritis if not treated properly. Open Reduction and Internal Fixation (ORIF) is the preferred surgical treatment for achieving anatomical reduction and functional recovery. Objective: This study aims to evaluate the functional outcomes of bimalleolar fractures treated with ORIF, using the Baird-Jackson scoring system to assess pain, range of motion, and overall joint stability. The secondary objective is to assess complications arising post-surgery. Results: Among 25 patients, the majority (68%) were male, with an average age of 41-60 years. Road traffic accidents were the most common cause (84%). Post-operative complications included 3 cases of ankle stiffness and 1 case of superficial infection. Functional outcomes were positive, with 8 patients achieving excellent results and 12 reporting good outcomes. The mean pre-operative VAS score was 7.56, which improved to 6.6 post-surgery. Conclusions: ORIF is an effective treatment for bimalleolar fractures, providing favourable functional outcomes, reduced pain, and minimal complications. Proper anatomical reduction and surgical technique are essential for optimal recovery and preventing long-term complications such as joint instability and arthritis.