Background: Ankle injuries gain importance because body weight is transmitted through it and locomotion depends upon thestability of this joint. Trimalleolar fractures are one of the most complex fractures around ankle. As with all intra articular fractures, Trimalleolar fractures necessitate reduction and stable internal fixation. The purpose of this study is to assess the functional and radiographic outcome and results of surgical treatment of Trimalleolar fractures by specific modalities. To attain a proper anatomical alignment and stability of ankle joint and further applying a syndesmotic screw if needed. Materials and Methods: A Prospective review was conducted for 28 patients between January 2018 to December 2019 with a closed trimalleolar fracture. Open reduction and internal fixation was done with specific modalities. Patients were evaluated with Subjective and objective assessments of the patient’s ankles were done using a modification of the scoring system proposed by Olerud and Molander and radiologically by Kristenson criteria.