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Ankle fractures are one of the most common fractures to occur. These can involve the lateral malleolus (fibula), medial malleolus, and/or the posterior malleolus. The syndesmosis may also be involved. Ankle fractures can also involve the articular surface of the tibia, known as pilon fractures. To provide stability and allow for an anatomic reduction, some of these fractures are treated surgically.