A tri-malleolar fracture is characterized by:

fracture to the medial malleolus, lateral malleolus, and the posterior tip of the tibia
fracture to the talus, medial malleolus, and the posterior tip of the fibula
fracture to the talus, lateral malleolus, and medial malleolus
fracture to the medial and lateral malleolus

fracture to the medial malleolus, lateral malleolus, and the posterior tip of the tibia

Rationale: Tri-malleolar fracture will have fracture to both the medial and lateral malleolus and will include a fracture to the posterior and inferior tip of the tibia.

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