Osteosynthesis by Pinning of Bimalleolar Fractures with Syndesmosis Involvement in a Resource-Limited Country

---

Résumé

Bimalleolar fractures are common injuries that have a favorable outcome if treated
properly. Weber type C fractures require osteosynthesis of the malleoli and stabilization
of the tibiofibular syndesmosis. The aim of this study is to evaluate the treatment of these
injuries using a less expensive technique involving pins and steel wire for pinning. Over
a period of two years, 15 patients were treated for bimalleolar fractures with syndesmosis
involvement. The average age was 34.2 years. The surgical technique was performed
with an open approach, involving pinning of the lateral malleolus, syndesmosis, and
medial malleolus cerclage. The functional assessment at six months showed an excellent
outcome with an average Karlson and Peterson score of 90.13 (range: 85 to 97). The use
of simple and less expensive techniques improves the prognosis of bimalleolar fractures
in developing countries.

Mots-clés

Bimalleolar Fracture, Syndesmosis, Pinning, Resource-Limited Countries.