Abstract: 1.1 Introduction: Ankle fractures are the most common type of fractures treated by orthopedic surgeons worldwide accounting for around 10% of all the fractures better understanding of the biomechanics of the ankle, improvements in fixation techniques and findings of outcome studies performed worldwide, there has been a gradual evolution in the effective strategies for the treatment of ankle fractures.
1.2 Aim: To evaluate the functional outcome and results obtained after surgical management by various methods of internal fixation for malleolar ankle fractures with the help of the Baird-Jackson score.
1.3 Material and methods: 30 adult patients with bi-malleolar fractures were treated between January 2017 and December 2017 at a SDM hospital, Jaipur. The inclusion criteria were closed bi-malleolar fractures in skeletally matured patients. Patients with compound fractures, pilon fractures and those with syndesmotic injuries were excluded from the study.
1.4 Results: The mean age of patient was 37.83years. Male and Right side dominant.15 (50%) cases had road traffic accident as the mechanism of injury. The most common fracture as per the Danis-Weber classification was type B including 16(53.3) cases. 13(43.3) cases had supination external rotation type of injury as per Lauge Hansen classification system, As per the Baird Jackson scoring system, 24 (88%) cases had good to excellent results, 4 (13.3%) had fair and 2 (6.7%) of the cases had poor results respectively.
1.5 Conclusion: There was no significant difference in outcome on the basis of factors such as side affected, mode of injury, age and sex, type of implant for medial mallelus, Weber type, Lauge and Hansen mechanism. (p value > 0.05). There was significant difference in outcome on the basis of factors like post operative complications and implant used for lateral malleolus. (p value < 0.05).
