Ankle fractures are among the most common fracture injury in young and old and, if not managed correctly, can be debilitating in the long term. The most common ankle fracture is an isolated malleolar fracture that represents 66% of all ankle fractures. Bi-malleolar fractures account for 25% with the remainder being tri-malleolar 
Management of these fractures varies depending on the severity, stability and pattern of fracture. Options can range from conservative management by plaster to external fixation; especially in the case of an open fracture. Unfortunately, the ideal fixation option (most commonly used plate) implant is not always available in operation theatre. The PHILOS plate can be second best alternative and effective option for fixation of these fractures.