An ankle or foot fracture can occur in one or more bones, and can involve the tibia, the fibula and the talus. Open ankle reduction and internal fixation is a procedure that is performed in order to stabilise a broken bone to attain anatomical reduction and prevent future arthritis in the ankle joint. During the procedure, I will carefully reposition the bones so that they are in the correct position. When the bones have been aligned properly, the bones or fragments of bones are connected with the help of metal screws and plates. In most cases, surgery is only performed once any swelling around the injury has subsided. Post- operative immobilisation and elevation is imperative.