Montoya Saenz Rocio,Carlos Cano ,Marques Parrilla Carlos, Complex Ankle Fractures, Presentation of 3 Cases and Review of the Literature Surgical Case Reports 2020 2613-5965 http://dx.doi.org/10.31487/j.SCR.2020.08.17 https://www.sciencerepository.org/complex-ankle-fractures-presentation-of-3-cases-and-review-of_SCR-2020-8-117 Abstract: 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.Keywords: Ankle, open fractures, soft tissues, external fixation