Right Trimalleolar Ankle Fracture Treated with ORIF and TBW Fixation | Balanku Hospital

Advanced Ankle Fracture Management at Balanku Hospital

Trimalleolar ankle fractures are complex injuries involving three components of the ankle joint — the lateral malleolus (fibula), medial malleolus, and posterior malleolus. These fractures often result from twisting injuries, falls, or road traffic accidents and require precise surgical management to restore ankle stability and prevent long-term complications.

At Balanku Hospital, we specialize in managing complex ankle fractures using advanced fixation techniques. We are pleased to share the successful treatment of Mr. Shivkumar, who presented with a right trimalleolar ankle fracture.

Understanding the Condition

Mr. Shivkumar presented with:

• Severe pain and swelling around the right ankle

• Deformity of the ankle joint

• Inability to bear weight

• Restricted ankle movements

Clinical examination and imaging studies confirmed a Right Trimalleolar Ankle Fracture, involving:

• Fibula (lateral malleolus)

• Posterior malleolus

• Medial malleolus

Such fractures disrupt ankle joint stability and require anatomical reduction for optimal recovery.

Surgical Procedures Performed

1️⃣ Open Reduction and Internal Fixation (ORIF)

Open reduction and internal fixation was performed for:

• Fibula using plates and screws

• Posterior malleolus using plates and screws

This ensured:

• Accurate restoration of ankle alignment

• Stable fixation of the lateral and posterior components

• Proper joint congruity

2️⃣ Tension Band Wiring (TBW) for Medial Malleolus

The medial malleolus was stabilized using Tension Band Wiring (TBW) technique, which:

• Converts tensile forces into compressive forces

• Promotes stable bone healing

• Provides strong fixation for small fracture fragments

The combined fixation approach restored full structural stability of the ankle joint.

Key Benefits of Combined Fixation

• Anatomical restoration of the ankle joint

• Strong and stable internal fixation

• Reduced risk of ankle instability

• Improved healing and alignment

• Better long-term functional outcome

The surgery was performed using advanced orthopedic trauma techniques to ensure precise reduction and fixation.

Procedure Overview

Post-Surgical Recovery & Rehabilitation

Following surgery, Mr. Shivkumar was placed on a structured rehabilitation plan including:

• Initial non-weight bearing period

• Gradual weight-bearing progression

• Ankle range of motion exercises

• Strengthening and balance training

Regular follow-up ensured stable healing and maintenance of alignment.

Outcome

With successful surgical fixation and dedicated physiotherapy, Mr. Shivkumar achieved:

• Stable ankle alignment

• Successful fracture healing

• Progressive return to weight-bearing

• Improved ankle mobility

• Return to daily activities

Advanced Ankle Trauma Care at Balanku Hospital

At Balanku Hospital, we are committed to:

• Managing complex ankle fractures

• Providing advanced fixation techniques

• Restoring joint stability and function

• Delivering comprehensive postoperative rehabilitation

We take pride in helping patients regain mobility and return to an active, pain-free life.