Abstract
This article is about treatment of severe ankle injuries.Significant incidence of fractures of this localization and the problem of treatment of severe soft tissue damages make the work relevant. Despite advantages of internal fixation external osteosynthesis is often the only possible solution to a severe clinical situation.A significant number of patients justify rationale for the Ilizarov frame as the primary method of treatment. The most common technical problems and complications in the treatment of fractures the optimal starting date of treatment are analyzed. The criteria of satisfactory and unsatisfactory reduction, indications to a change of fixation for internal one are described. On clinical cases the authors show good results and alternative assembles of external devices.A feature of the work is its practical value and authors’ recommendations.