The malleolar fractures and malleolar fractures with the ankle joint luxations are one of the most common injuries of the locomotoric system. Both direct and indirect traumatic mechanisms are involved in their etiology. Many classifications of these injuries are known: Lauge-Hansen, Danis-Weber, and AO. For malleolar fractures are articular injuries they require precise reduction of the primary anatomical relationships in order to avoid further degenerative changes. Both operative and non-operative methods are used in treatment of the malleolar fractures. Surgical, i.e. operative reposition and fixation of the bony fragments is a “gold standard” in the treatment of bi- and trimalleolar fractures allowing for early rehabilitation.