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Objective ObjectiveToevaluatetheclinicalsignificanceoflateralmalleolarsanatomicalhook-plateintreatinganklefractureincludingdistalfibularfracture.Methods weidentified19patientswhohadundergoneopenreductionandinternalfixationofanklefractureincludingdistalfibularfractureasinpatientsfromJanuary2006toJanuary2009,19patientsweretreatedwithlateralmalleolarsanatomicalhook-plate,Themeanfollow-upperiodwas18.8monthswitharangefrom6to32months.