Abstract: Introduction: Ankle fractures are the common type of fractures treated by the orthopaedic surgeons. There has been an increased prevalence of ankle fractures over the last two decades both in young patients and the elderly. 85% of these ankle injuries are ankle sprains and the remaining 15% are ankle fractures. Over all ankle fracture constitute 9% of fractures.
Material and Method: In this study 30 patients of diaplaced malleolar fractures were enrolled. Detailed history, examination and baseline investigations were carried out. Fractures were classified according to the Lauge-Hansen and Weber classification. Operated within 24 hrs or after 7-10 days after the swelling subsided. The standard techniques of approach to medial malleolus, lateral malleolus and posterior lip were followed. The fractures were fixed using screws, plates and wires as and where ever indicated. Post operatively the limb was elevated using 2 pillows overnight, routine post operative care and early exercises were started for all patients. All these patients were reviewed at 2 weeks, 6 weeks, 3 months and 6 months. Functional outcome was assessed using Olerud-Molander Ankle Score at 3 and 6 months.
Result: There was a significant improvement in the mean OMA which was used to assess functional outcome at 3 months and 6 months.
Conclusion: This study concludes that surgical modalities of treatment of displaced malleolar fractures offer better results and early weight bearing with minimal complications. Although a larger sample size would be helpful for futher validation.
