Minor pain in the first 2-3 months after an ankle fracture may result from active bone remodeling processes. The active participation of the patient in rehabilitation allows to prevent pains resulting from the presence of postoperative scars or tissue adaptation to re-burdening with body weight. It should be borne in mind that some complex types of fractures may prevent the perfect reconstruction of the articular surfaces, which is related to a certain limitation of the ankle joint function. Some patients with massive ankle injuries may develop degenerative changes within 2-10 years despite maximum care.