If you’ve experienced a trimalleolar fracture, you know it’s not just a simple ankle break. This injury involves three parts of the ankle joint—the medial malleolus (inside of the ankle), the lateral malleolus (outside of the ankle), and the posterior malleolus (back of the tibia). That means the joint takes a big hit in both structure and stability. To restore alignment, most patients require ORIF surgery — Open Reduction and Internal Fixation. In plain terms, that means the bones are repositio