Outcomes and Pattern of Bimalleolar Ankle Fracture in Adults: A Cross-Sectional Study: Outcomes and Pattern of Bimalleolar Ankle Fracture in Adults

Sartaj  Lakhani; Sajjad  Hussain Bhatti; Zulfiqar  Ali Jatoi; Muhammad  Shuaib Chandio; Aziz ullah; Abdul  Rahman Khan; Niaz Hussain  Keerio

doi:10.54393/pjhs.v3i05.179

Authors

Sartaj Lakhani Orthopaedic Surgeon, Civil Hospital Mithi Tharparkar Pakistan
Sajjad Hussain Bhatti Orthopaedics, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences GIMS Gambat, Pakistan
Zulfiqar Ali Jatoi Orthopaedic Department of Orthopaedics, King Abdul Aziz Naval Base Hospital Jubail Eastern Province Kingdom of Saudia Arabia
Muhammad Shuaib Chandio Muhammad Shuaib Chandio, Assistant professor Orthopaedics, Shaheed Mohtarama Benazir Bhutto Medical University Larkana, Pakistan
Aziz ullah Orthopaedics, GMMMC Sukkur, SMBBMU, Larkana, Pakistan
Abdul Rahman Khan Orthopaedics, DIMC, Dow University of Health Sciences, Karachi Pakistan
Niaz Hussain Keerio

DOI:

https://doi.org/10.54393/pjhs.v3i05.179

Keywords:

visual analog pain scale, bimalleolar fracture, weber classification, outcomes, American orthopedic foot and ankle score

Abstract

A total of 10% of all bone fractures are found in the ankle, making it the most often broken bone in the body. Objective: To assess the outcome and the pattern of bimalleolar ankle fractures in adults. Methods: A total of 72 individuals with bimalleolar ankle fractures were recruited in this study and followed up for a total of 12 weeks. An evaluation of the results after 12 weeks was done using the American Orthopedic Foot and Ankle Score & the Visual Analog Pain Scale. The amount of discomfort, functional ability, and alignment were the three key indicators of the results. Results: The average age of the patients was 36.4 10.4 years, ranging from 19 to 60 years. There were 3:2 more men than women. Half of the fractures were due to falls, 36.1% by automobile accidents, and 13.9% by motorcycle accidents. Of the cases, 63.9 percent included closed fractures. According to the Weber classification, B and C fractures were the most frequent, occurring in 33 (45.8%) and 31 (43.1%) individuals, respectively. The mean AOFAS at three months was 78.2. Between 1 and 3, the VAS was 43.1%. 38.8% of the patients, or 28, reported no discomfort. Conclusions: Patients tended to be young in this study. Delaying final care for up to a week after a fracture does not seem to have a negative impact on the result. The medial clean space (less than 4mm) was the primary indicator of a successful result.

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