Bimalleolar ankle fractures disrupt the medial and lateral stabilizing structures of the ankle joint. Displacement reduces the tibio-talar contact area and alters joint kinematics. Surgical reduction and internal fixation has become the mainstay for the treatment of most of the unstable malleolar fractures The various surgical modalities include fixation with cancellous lag screws, malleolar screw, tension band wiring, plating, fixation with rush pin or K wires. A prospective study of 35 cases of bimalleolar fractures of ankle in adults, managed surgically by various techniques satisfying the inclusion and exclusion criteria were studied. The functional outcome was evaluated using the Olerud and Molander scoring system. In our study we achieved 85.7% excellent to good results, 8.6% fair results, 5.7% poor results. The results were comparable to other studies.