| In ankle trimalleolar fractures are most complex. The joint stability is important for locomotion and transmission of body
weight and so ankle injuries are important. Trimalleolar fractures requires a reduction and stable internal fixation.
Assessment of functional outcome and results of surgical treatment of trimalleolar fractures was the motive of this study
done by particular techniques, proper anatomical alignment and syndesmotic screw application if needed. A Prospective
study was conducted for 18 patients with trimalleolar fracture. Open reduction and internal fixation was done with specific
modalities. Patients were evaluated with functional scoring by Baird and Jackson. The functional outcome of ORIF and
advantages of the procedures were recorded. In this study of 18 patients with ankle fractures were treated by open
reduction and internal fixation. Excellent results were achieved in 12 (75%) patients, good in 4 (35%), fair in 1 (5%) and
poor in 1 (5%) patient. Results were excellent in all isolated lateral malleolar and bimallelar fractures. Two (14%) patient
who were trimalleolar fracture had poor to fair outcome. The patient with poor outcome had pain with day to day activities,
reduced ankle movements and joint space reduction. Fracture classification done under Lauge-Hansen which is based on
mechanism of injury and treatment planned accordingly. After anatomic reduction and stable fixation through the specific
operative methods, the short-term outcome was good and complications were reduced to minimumddd |
