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Ankle fractures are frequently complicated by variables out of the surgeon’s control. The amount of comminution, degree of osteoporosis, location of the fracture, and size of the patient can all lead to challenging obstacles. The VA Locking Medial Tibia Ankle Hook Plate is designed to treat very distal or comminuted medial malleolus fractures. The two- hooked, distal prongs are designed to grab the deltoid ligament to reduce the medial malleolus (akin to using the rotator cuff to reduce the greater tuberosity in the shoulder). The VA Locking Lateral Fibula Ankle Hook Plate is designed to treat fibular fractures with fibula fractures with distal extension. The plate is anatomically designed to fit the lateral aspect of the fibula. The prongs are spaced and recessed appropriately to fit a low-profile 4.0 mm cannulated screw if desired. The proximal screw holes allow for the placement of 3.5 mm locking screws, and 2.7 mm VA locking screws distally.