TY - JOUR AR - SCR-2020-8-117 TI - Complex Ankle Fractures, Presentation of 3 Cases and Review of the Literature AU - Montoya , Saenz Rocio AU - Carlos , Cano AU - Marques , Parrilla Carlos JO - Surgical Case Reports PY - 2020 DA - Fri 14, Aug 2020 SN - 2613-5965 DO - http://dx.doi.org/10.31487/j.SCR.2020.08.17 UR - https://www.sciencerepository.org/complex-ankle-fractures-presentation-of-3-cases-and-review-of_SCR-2020-8-117 KW - Ankle, open fractures, soft tissues, external fixation AB - Ankle fractures represent a significant percentage of all fractures, and there is currently an increased incidence, both among the elderly population with associated comorbidities and among young patients with high-energy traumas. These fractures have an inherent risk of complications. In this connection, it is crucial that we turn our attention to soft tissue injuries, with wound infection as the main complication in this category. The last objective of this study is to highlight the possible derived complications in complex ankle fractures, and to explain the advantages of the use of different fixation devices, through the presentation of three clinical cases treated in our center. We conclude in order to prevent or reduce the complications resulting from the direct surgical treatment of high-energy trauma in the distal end of the tibia, it is essential to properly manage the soft tissue based on the type of lesion and the characteristics of the patient.