Aim: The aim of the present study was to evaluate the result of internal fixation of bimalleolar fractures treated by ORIF with malleolar screw with fibular plate osteosynthesis and CRIF with cannulated cancellous screw with fibular K Wire fixation.Methods: After obtaining informed and written consent, 30 cases of bimalleolar fractures of ankle in adults were treated at Khaja Banda Nawaz Teaching and General Hospital, Kalaburagi from Jan 2022 to Dec 2023 by surgical intervention and were studied for a period of 2 years. 30 patients (divided into two groups of 15 each) were included.Results: In our series, majority of the cases i.e. 12 (40%) were in the age group of 31-40 years, followed by 11(36.6%) cases in the age group 41-50 years. The youngest patient was 21 years old and eldest patient was 65 years. The mean age was 41 years. In the present series, males were more commonly involved. Majority of the patients were males-21 cases (70%) and 9 (30%) were females. Right side was involved in 19 (63.3%) cases and left ankle in 11 (36.6%). Right ankle was more commonly involved. 14 cases (46.6%) affected were due to road traffic accident, 10 cases (33.3%) due to fall, and 6 cases (20%) due to twisting injury. Road traffic accident was the most common mode of injury. In our study, the average time taken for union was 10.5 weeks.Conclusion: In comparison with open reduction and internal fixation of medial malleolar fractures with malleolar screw and fibular plate and screw fixation for lateral malleolar fractures, this is a time-consuming surgery due to opening of the fracture fragment. Loss of fracture hematoma, more chances of skin infection and skin necrosis due to wider incision, and subcutaneous nature of the bone, hardware problems due plate and screw fixation and with more union time, and higher chances of ankle stiffness.