Retrospective

study of surgical outcomes for management of ankle fractures utilizing the Ilizarov technique Discussion/Conclusion We found the Ilizarov technique to be a viable method for the management of bi and tri-malleolar fractures. The lead author advocates the initial use of multi-planar external ring fixator in order to provide early ambulation to the patient, and at the same time perform an ankle diastasis using the external ring fixator to provide increase range of motion at the ankle joint post ring fixator. We also found it to be beneficial with the morbidly obese patient, which are incapable of following a nonweightbearing protocol. Finally, vascular compromised patients will profit from possible tissue necrosis that might arise from an open reduction internal fixation technique. Results All 21 patients had successful ankle fracture reduction and fixation with the use of the Ilizarov technique. This is based on clinical and radiographic consolidation of the fracture sites without significant malalignment and with evidence of a stable ankle mortise. 18 patients reported satisfactory post-op ankle range of motion with 3 patients complaining of diminished ROM secondary to ankle DJD. All patients healed all fracture sites uneventfully and resumed their regular daily activities without major complications