Fractures in the ankle area account for 9% of all bone fractures in adults. They most commonly occur as a result of falls, jumps, trauma, and sports injuries. According to age, ankle fractures have a bimodal distribution and with the largest number of injuries among young men and older women. Fractures can be open and closed, while open occur in only 5% of the cases. The care procedure is the same, with the difference of debridement and usually the delayed closure of the open fractures. The treatment depends on the type of fracture, stability of the joint and patient's condition. There are several classifications to help us decide how to treat the fractures. The most important classifications are the Lauge-Hansen, Danis- Weber and AO / OTA. Lauge-Hansen's classification is essential for understanding the pathomechanics of ankle fractures but AO/OTA is more commonly used because it is more practical and describes fracture location, number of malleolae involved and joint congruity. In addition to status and medical history, radiological assessment is also necessary. Images are recorded in AP, LL and the mortise view in which the ankle fractures are best shown. Treatment can be conservative and operative. Conservative treatment is indicated in more stable fractures with a low risk of displacement and if contraindications for surgical treatment are present. It consists of six weeks immobilization, following the earliest possible mobilization. Surgical treatment is indicated in unstable fractures. The principle of operation is open reduction of fragments and their fixation. Screws, plates and Kirschner wires are used, but additional external fixation may be required if fracture is open. The goal of treatment is to achieve anatomical reduction, fixation and mobilization as soon as possible. The most common complications are displacement of fragments during fixation, contractures, ankle stiffness and postoperational infections.