Functional Outcome of Operated Ankle Fractures in Adults of Western Indian Population

Background: Ankle fractures are among the most common lower limb injuries encountered in orthopaedic practice, frequently resulting from road traffic accidents, falls, and sports-related trauma. Although surgical fixation aims to restore joint congruity and function, the final outcome is influenced by factors such as fracture pattern, timing of surgery, fixation stability, and postoperative rehabilitation. Objective: To evaluate functional outcomes following surgical management of ankle fractures in adults from a Western Indian population and to identify factors influencing recovery. Methods: This prospective observational study was conducted between February 2024 and December 2025, including 82 adult patients with closed ankle fractures treated with open reduction and internal fixation (ORIF). Functional outcomes were assessed at 6 months using the Olerud–Molander Ankle Score (OMAS). Statistical analysis was performed using SPSS version 25, with p < 0.05 considered statistically significant. Results: The study population had a mean age of 42.6 ± 13.2 years with a male predominance (67%). Bimalleolar fractures were the most common (54%), followed by trimalleolar fractures (28%). The mean OMAS score at 6 months was 78.4 ± 12.6. Overall, 71.9% of patients achieved excellent to good functional outcomes, while 9.7% had poor outcomes. Early mobilization was significantly associated with better functional recovery (p < 0.01). Conclusion: Operative management of ankle fractures using ORIF yields satisfactory functional outcomes in the majority of patients. Early postoperative mobilization and adherence to structured rehabilitation protocols play a crucial role in optimizing recovery.