Inclusion Criteria:  Adult patients (age>18) undergoing surgical treatment for isolated lateral malleolar fracture with foot and ankle surgeons at the Rothman Orthopaedic Institute  Exclusion Criteria:  Patients requiring other fracture fixation, deltoid ligament repair, or syndesmosis fixation Revision ankle fracture cases Pre-existing impaired mobility, Pre-existing cognitive disability, Open fractures, BMI >40, Diabetes mellitus (DM)