Ankle fractures are the commonest type of injuries seen in emergency department. The purpose of treatment is to obtain an anatomical reduction and painless ankle after treatment. The aim of this study is to assess functional outcome after surgical treatment of malleolar fractures. Materials and method: This is a prospective study of thirty four patients conducted at tertiary care hospital from Jan 2014 to Dec 2017. Surgical management of malleolar fracture with various methods to restores the articular congruity of joint. Baird and Jackson’s ankle scoring method was used during follow-up. Results: In our study, fourteen cases (41.18%) were in 31-40 years the age group. 24 patients were males (70.59%). 15 (44.12%) cases had supination-external rotation injury. 20 (58.82%) patients had bimalleolar fracture. Medial malleolar fractures were fixed with malleolar screw in 22 cases (73.33 %). Lateral malleolar fractures were fixed with plate in 15 cases (57.69%). Excellent results were found in 16 cases (47.06%). 

Keywords: Functional Outcome; Malleolar Fractures; Ankle.