title: Cross-Sectional Study to Assess the Functional Outcome of Neglected Bimalleolar Fracture.
abstract: BACKGROUND
  Ankle fracture is the most common intra-articular fracture of a weight-bearing joint and accounts for 9% of all fractures. Ankle fractures are classified into 3 subgroups: unimalleolar, bimalleolar, and trimalleolar fractures. Accurate reduction and stable internal fixation is necessary in bimalleolar fractures; otherwise, it may lead to posttraumatic painful restriction of movements or osteoarthritis. The purpose of this study is to assess the functional outcome and results of treatment of neglected bimalleolar fracture.
  
  
  METHODS
  Seventeen neglected bimalleolar fracture patients were treated with open reduction and internal fixation. Patients were followed-up at 1, 2, and 5 years and functional ability was assessed by using the modified Weber Rating Scale.
  
  
  RESULTS
  The mean age of patients was 41.4 ± 13.28 years. After 2 year of surgery, 13 out of 17 patients showed excellent results and 4 patients had fair results.
  
  
  CONCLUSIONS
  Good to excellent functional results were observed after long-term follow-up in neglected bimalleolar fracture treated with open reduction and internal fixation, and we advise surgical intervention in all such patients.
  
  
  METHODS
  Therapeutic, Level III: Retrospective Cohort study.
authors.affiliation: Department of Orthopedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Rajeev
authors.initials: R
authors.lastname: Shukla
authors.affiliation: Department of Orthopedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Ravi Kant
authors.initials: RK
authors.lastname: Jain
authors.affiliation: Department of Orthopedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Shravan
authors.initials: S
authors.lastname: Patidar
authors.affiliation: Department of Orthopedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Jain
authors.affiliation: Department of Orthopedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Pranav
authors.initials: P
authors.lastname: Mahajan
mesh_terms: D000328:Adult; D000368:Aged; D064386:Ankle Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D001858:Bone Nails; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D058069:Neglected Diseases; D011859:Radiography / Q000379:methods; D016059:Range of Motion, Articular / Q000502:physiology; D012189:Retrospective Studies; D018570:Risk Assessment; D018709:Statistics, Nonparametric; D013997:Time Factors; D016896:Treatment Outcome
keywords: Weber Rating Scale; ankle; bimalleolar fracture; open reduction internal fixation