One of the most frequent pathologies in the practice of a traumatologist-orthopedist is damage to the ankle joint, accounting for up to 20 % of injuries to the musculoskeletal system. The frequency of ankle ligament injuries among people of working age ranges from 12% to 40%, severe ankle fractures with damage to the deltoid ligament and rupture of the distal intertibial syndesmosis in 30% of cases result in unsatisfactory results [1]. According to statistics, the occurrence of ankle fractures is on average 100-120 cases per 200 thousand. population per year. From 54.1 to 84.6% of ankle fractures with a rupture of the MBS occur in young and able-bodied people [1-3]. According to a number of authors, damage to the ring in two places, which can be represented by either a fracture of both ankles, or a fracture of one ankle and a rupture of one of the ligament groups, is unstable and accounts for 15% of ankle fractures. In this group, the above scientists also include all two-and three-ankle fractures, taking into account the fact that ligament damage is the equivalent (often more severe) of an ankle fracture. In the conservative treatment of patients with ankle fractures accompanied by a rupture of the MBS, unsatisfactory results occur from 6.6 to 23.4 % of cases. This is due to the fact that after a closed manual reposition of the fragments of the ankles and their external fixation with plaster or polymer dressings, the displacement of the fragments and diastasis between the tibia in the MBS area often persists [6,7]. Domestic and foreign authors believe that after the surgical treatment of ankle fractures with a rupture of the MBS, from 24 to 52% of cases of diastases between the tibia in the MBS cannot be eliminated, the need for repeated surgery occurs from 2.1 to 20% of cases [4,5].