Concept of treatment of trimalleolar fracture is evolved from conservative treatment to open reduction and internal fixationall the research focuses on posterior malleoli fixation either with screws or plate depending on the size of theposterior malleoli fragment none of the studies have taken the direction of subluxation or dislocation ankle joint.Talus lie in the ankle mortise because of the stability provided by the anterior and posterior structures posteriorly posterior tibiofibularsyndesmtic ligament if injured it should be anatomically reduced and stabilized with palte or lag principle. All surgically managed patients with tri-malleolar fracture of the ankle satisfying the inclusion criteria admitted from 2017 to 2022 in Basaveshwara Medical College and Hospital, Chitradurga were included in the study. We used the AOFAS (American Orthopaedic Foot and Ankle society score) scoring system which is a self-reported outcome measurement for the evaluation of the outcome of the management at 3 month, 6 month and 1 year follow-up post operatively. Using appropriate statistical methods, we assessed the pattern of recovery of ankle function.