Clinical and Radiological Outcome of Operated Ankle Fractures in Adults: A Prospective Study

Background: Ankle fractures are among the most common lower limb injuries encountered in orthopaedic practice and frequently require surgical intervention. Inadequate treatment may lead to chronic pain, instability, and post-traumatic arthritis. Achieving anatomical reduction and stable fixation is therefore essential for restoring joint congruity and ensuring optimal functional and radiological outcomes. Objective: To evaluate the clinical and radiological outcomes of surgically treated ankle fractures in adults using standardized assessment criteria. Methods: This prospective observational study included 30 adult patients with displaced ankle fractures managed with open reduction and internal fixation (ORIF). Fractures were classified according to the LaugeHansen system. All patients underwent standardized surgical procedures followed by postoperative rehabilitation. Functional and radiological outcomes were assessed using the Baird and Jackson scoring system over a follow-up period of 6–12 months. Results: Supination-external rotation injuries were the most common mechanism (60%). Bimalleolar fractures predominated (53%), followed by trimalleolar fractures. Functional assessment revealed excellent outcomes in 54% of patients, good outcomes in 33%, and fair outcomes in 13%, with no poor results. The majority of patients achieved pain-free ambulation, stable ankle joints, and return to pre-injury activity levels. Radiological evaluation demonstrated satisfactory joint alignment and maintenance of ankle congruity in most cases. Conclusion: ORIF with anatomical reduction and stable fixation provides excellent clinical and radiological outcomes in displaced ankle fractures, emphasizing the importance of proper surgical technique and early rehabilitation.