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several classification systems have been proposed for ankle fractures here is a quick review of the anatomy of the ankle the fibula and tibia come together over the talus to form the ankle joint the distal end of the fibula is known as the lateral malleolus its counterpart formed by the tibia is the medial malleolus the tibia also forms a ridge in the back of the ankle known as the posterior malleolus the tibia and fibula together form a mortise which receives the talus the weight-bearing portion of the tibia is known as the plafond which means sealing several ligaments secure the bones of the ankle together for simplicitys sake well call them the lateral ankle ligaments which primarily prevent excessive supination the deltoid or medial ligament which primarily prevents excessive pronation and the syndesmosis which stabilizes the ankle mortise by preventing gapping between the tibia and fibula the log hanson classification of ankle fractures is based on the mechanism of injury that