Vol. 6, Issue 1, Part B (2024)

Objective: Bimalleolar fractures are breaks in bone continuity affecting the processes of the distal end of the tibia and fibula. The aim of our study was to evaluate the surgical outcome of closed bimalleolar fractures at the Brazzaville University Hospital Center (CHUB).
Materials and Methods: This is a retrospective study carried out on 38 patients who presented a closed bimalleolar fracture at the CHUB between January 2021 and December 2023, a period of three years. 38 patients were evaluated including 20 women and 18 men. There were 22 or 57.9% who presented an intertubercular bimalleolar fracture, 10 or 26.3% who presented a supratubercular bimalleolar fracture, and 06 or 15.8% who presented a subtubercular bimalleolar fracture. The average age of the study was 46.73 years, standard deviation ± 17.44 (range: 25-65 years).
Results: Among the 38 patients who presented a closed bimalleolar fracture of the operated ankle, 34 had no complications or 89.48%, and 4 had complications or 10.52%, of which 2 had ankle stiffness and the rest had a complex regional pain syndrome. All ankles have been consolidated or 100%. 
Conclusion: Bimalleolar fractures are essentially surgical and fibular displacement is not an independent factor in deciding on surgical intervention. Joint congruence and medial stability are the key points when choosing between surgical and non-surgical treatment.