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Background: Mortalities in medical Intensive Care Units (ICUs) are largely variable. Intensive care medicine has developed significantly over time. But still it is unpredictable in terms of pattern of mortality. Materials and Methods: A total of 266 patients who died in the ICU of a tertiary care Hospital over the period of one year were studied retrospectively to review the mortality pattern. Results: Out of 266 patients Male comprised 71.8% and female 28.2 %. Patients from rural area were 70.7% where as 29.3% belong to urban society. Among the study population preexisting diabetic and hypertensive patients were 10.5% and 16.5 % whereas 12.4 % were suffering from both. 56% of the study population was from more than 60 years age group. Sepsis (26.3%) was the leading cause of death followed by stroke (19.9%) and COPD (13.9%). Mean duration of hospital stay among study population was 7.61 days. Conclusion: Sepsis, stroke, respiratory and cardiovascular diseases are the leading causes of mortality in our study. Prospective, larger, more studies regarding ICU mortality should be carried out for policy planning to improve the healthcare resources. Keywords:  mortality pattern, Intensive Care Unit, sepsis

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<p class="abstract"><strong>Background:</strong> Ankle fracture is one of the most common injuries in sports and daily activity. Unstable ankle fracture that are displaced fracture of the lateral malleolus and most bimalleolar or trimalleolar fractures need surgical reduction and fixation.</p><p class="abstract"><strong>Methods:</strong> It is a single centre study in which all unstable ankle fracture above the age of 18 and not associated with any other injury were included in the study. Following fixation patients were followed up at 6 weeks, 3 months and 6 months and functional outcome was assessed with American Orthopaedic Foot and Ankle score (AOFAS).<strong></strong></p><p class="abstract"><strong>Results:</strong> Supination external rotation injury was most common type. Mean AOFAS score at the end of six months was found to be best in supination adduction type. Posterior malleolus fixation with screw were found to have maximum AOFAS score.</p><p class="abstract"><strong>Conclusions:</strong> Surgical outcome in unstable ankle fracture are proved to have good functional outcome.</p>