The Role of Patient Expectations in Traumatic Orthopedic Outcomes-TEFTOM EURASIA

Inclusion Criteria: * Isolated ankle or distal tibia fracture * Scheduled for and undergoing one of the following surgeries for their fracture: * Open fracture and internal fixation (ORIF) * external fixation (EF) * EF followed by ORIF * 18 years of age or older * Understand and read country national language at elementary level * Able to understand the purpose of the clinical trial, * Able and willing to conduct all follow-up visits * Signed informed consent Exclusion Criteria: * Subject has previously undergone internal fixation surgery for this ankle/distal tibia fracture. * Subject has disease entity, or condition that precludes likelihood of bony union (e.g., metastatic cancer, metabolic bone disease). * Subject has severe dementia or other severe mental health problem that may preclude him/her from completing study questionnaires. * Subject is participating in other competing clinical research that may interfere with participation in this research. * Subject is unlikely to attend study related follow-up visits. * Subject has poly-trauma (more than one organ system compromised) * Subject has additional fracture(s) other than ankle fracture * Subject is a prisoner * Fracture occurred more than 28 days before surgery