Functional Outcome of Open Reduction and Internal Fixation in Bimalleolar Fractures of Ankle
DOI:
https://doi.org/10.70749/ijbr.v3i4.2597Keywords:
Bimalleolar fracture, Open reduction and internal fixation, Functional outcome, AOFAS score, Ankle fractureAbstract
Objective: To determine the functional outcome of open reduction and internal fixation (ORIF) in patients with bimalleolar fractures of the ankle. Study Design: Descriptive study. Place and Duration of Study: Department of Orthopedic Surgery, Hayatabad Medical Complex (HMC), Peshawar, from August 2024 to February 2025. Methodology: Using a non-probability consecutive sampling method, 82 individuals with radiologically verified bimalleolar ankle fractures, ranging in age from 18 to 65 years, were included in the study. Conditional exclusion criteria included reduced feeling in the lower limbs and complicated fractures. Through the use of conventional surgical techniques, every subject underwent open reduction and internal fixation (ORIF). The Ankle-Hindfoot Scale developed by the American Orthopedic Foot and Ankle Society (AOFAS) was used to assess functional recovery forty-five days following surgery. Categorical variables were represented as frequencies and percentages in the statistical analysis carried out using SPSS version 25, while continuous variables were given as mean ± standard deviation. The moderators of effects were evaluated using chi-square testing and stratification. Results: The mean age of patients was 40.77 ± 13.89 years, and the mean BMI was 26.56 ± 6.89 kg/m². Of the 82 patients, 62.2% were male and 37.8% female. Mechanism of injury included road traffic accidents (45.1%), falls (24.4%), and other causes (30.5%). Functional outcome was excellent in 52 (63.4%) patients, good in 13 (15.9%), and fair in 17 (20.7%). Conclusion: The majority of patients with bimalleolar ankle fractures had excellent to good functional results after open reduction and internal fixation. To get the best possible outcome after surgery, prompt action and restoration of lost anatomy are essential.
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