Aims: Ankle fractures are injuries with intraarticular imapct. Therefore the treatment must be very precise (meticilous). Numerous and heterogenous factors inßuence the late results in both conservativelly and operatively treated ankle fractures. So the aim of the study was to determine the list of prognosticaly and statistically signiþcant factors in the ankle fractures. Material and methods: 504 patients who were treated for ankle fractures for 5 year period were followed for 3 to 10 years. All fractures were clasiþed according to Lauge Hansen clasiþcation. Conservative treatment consists of reduction and plaster imobilisation for 5–7 weeks, while in operative treated patients internal þxation were performed for most fractures while in pronation dorsißexion- pilon fractures minimally internal þxation in combination with dinamical external þxation was done. Results: pronation-eversion (grade 2) fractures has the same result in both kinds of treatment, while pronation Ðeversion and pronation fractures show better results in operatively treated patients and pilon fractures with dynimical external þxation. Conclusion: the displaced fractures shoud be anatomically reduced, either by closed or open. The most decisive factors inßuencing the late result in ankle fractures are: type of fracture, age, anatomical reduction, talocrural angle, size of posterior fragment, lateral shortening and condition of soft tissue.