Inclusion Criteria:  • All subjects aged 50y or more with recent fracture ankle (less than two weeks) with uncontrolled diabetes in form of high level of hemoglobinA1C ( >6.4% ) and/ or high random blood sugar level on admission (>200mg/dl). Patients with one or more complications due to diabetic e,g. neuropathy, nephropathy , and/or peripheral vascular disease.  Exclusion Criteria:  • Previous ankle fracture fixation in the same side.  Charcot arthropathy Polytrauma, multiple skeletal injury.