Abstract : <p>Ankle fracture is one of the most common injury encountered by orthopedic surgeon. It can be resulted by simple twisting injury of ankle and also in high energy trauma from motor-vehicles accident. Concomitant tibio-talar dislocation following ankle fracture have been reported as many as 21% to 36% of ankle fractures and warrant early intervention and usually is associated with deltoid ligaments injury. However, until now the management of ankle fracture dislocation associated with deltoid ligament injury is still in debate. We report a case of 23 years old gentleman who involved in a motor-vehicle accident and sustained right lateral malleolus fracture with ankle dislocation. He underwent a close manual reduction (CMR) but failed as the post CMR X-ray shown that the ankle remains subluxated. Subsequently proceeded with plating of right fibula and deltoid ligaments repair using anchor sutures. Patient outcomes were reassessed with American Orthopedic Foot and Ankle score (AOFAS) at three months and six months&rsquo; post-operative and the result were 81% and 95% respectively.</p>