Functional and Radiological Outcomes of Open Reduction and Internal Fixation in Bimalleolar Ankle Fractures

Background: Bimalleolar ankle fractures are one of the most frequently encountered lower limb injuries, often requiring surgical intervention for optimal recovery. Open Reduction and Internal Fixation (ORIF) is widely regarded as the standard treatment, aimed at restoring joint congruity and functional mobility. Aim: To study the functional outcome of surgically treated bimalleolar ankle fractures and identify postoperative complications associated with ORIF. Materials and Methods: This observational study was conducted on 80 patients with closed bimalleolar ankle fractures. All patients underwent ORIF, followed by standard postoperative rehabilitation. Clinical and radiological evaluations were performed, and outcomes were assessed using the Baird and Jackson criteria. Results: Out of 80 patients, 28% showed excellent outcomes, 35% good, 25% fair, and 12% poor outcomes. The majority achieved full ankle stability, near-complete range of motion, and returned to work within 3–4 weeks. Pain and limited mobility were observed in a few cases, mostly linked to delayed intervention or comorbidities. Conclusion: ORIF remains a reliable treatment modality for bimalleolar fractures, offering excellent functional results in most cases. Early diagnosis, proper surgical technique, and postoperative care are crucial for maximizing recovery and minimizing complications.