Table 1 Inclusion and Exclusion criteria

Age 18–65 years

Patients under 18 years or over 65 years

Patients who have acute infections, mental illnesses, high anesthesiological risk (ASA >3)

Patients with expected incompliance

Acute ankle fracture classified as AO type 44 A2, A3, B2, B3, C1-C3

Acute ankle fracture classified as AO type 44 A1 or B1 fracture, pilon or plafond-variant injury. Open fractures

Written informed consent (patient is able to read and understand German language properly)

Patients without written informed consent