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We assessed the role of fibular length and the width of the ankle mortise as risk factors in the occurrence of post-traumatic osteoarthritis of the ankle joint by comparison of radiographs of the affected and unaffected sides. A shortened fibular malleolus (P &lt; 0.01), a wide ankle mortise (P &lt; 0.01) and Weber type B fracture (P &lt; 0.01) were significantly associated with the development of osteoarthrosis but an elongated fibular (P &gt; 0.05) and a narrowing of the ankle mortise (P &gt; 0.07) were not.

The role of fibular length and the width of the ankle mortise in post-traumatic osteoarthrosis after malleolar fracture