Background: Common injuries include ankle fractures, which can happen as a result of low-intensity trauma in young people or a high-intensity trauma in elderly, weak patients. Both the patient and the treating surgeon must overcome considerable obstacles while management of fractures of ankle in diabetic patients. Objective: For determination of the epidemiology of ankle fractures regarding the overall incidence, incidence of each type, incidence of open fracture, incidence of diabetic patients and associated injuries. Patients and Methods: In this analytical retrospective analysis, 255 cases of ankle fractures (malleolar fractures) of any kind and patients older than 18 years were included. The patients underwent radiographic exams, including an ankle X-ray, a duplex ultrasound on the lower limb, and, if necessary, a CT or MRI. Results: The mean age was 37 years and male to female ratio was 55/45. Most of the studied cases were Closed Weber A1 (30%), followed by Closed Weber B2 (20%) and Closed Weber A2 (20%), then Open-Weber B3, Open-Weber B2 and Closed Weber B1, which represented 10% for each. diabetes mellitus and hypertension and smoking were recorded in 10%, 40% and 40% of cases respectively. Most of the studied cases (80%) were treated by operation, and only 20% of cases had cast management. Conclusion: The majority of ankle fractures occur in middle-aged people, with a higher frequency of men. Ankle twisting (FTG) is the most frequent type of injury, followed by road traffic accident (RTA). In making decisions for the patients under study, smoking history is a crucial factor.