Ankle fractures and syndesmosis injuries.

Ankle fractures are one of the most frequently treated injuries in orthopedic traumatology. The simple injuries often are forgiving and are managed easily and appropriately by closed treatment, but more complex injuries require recognition of possible associated injuries and anatomic internal fixation. Although adherence to general guidelines of fracture management usually suffices, some cases do not fall into a well-defined category, and clinicians are called on to use their experience and clinical knowledge to make treatment decisions that best ensure good clinical outcomes.