Park YH, et al. - Researchers conducted a retrospective matched case-control study comparing the patient outcomes of surgical treatment of supination-external rotation ankle fractures in patients with and without metabolic syndrome. Forty-nine patients with supination-external rotation ankle fracture and metabolic syndrome were age-, sex-, and fracture type-matched with 49 controls without metabolic syndrome were assessed for Olerud-Molander Ankle Score, Visual Analog Scale, Kellgren and Lawrence scale, and complications at final follow-up. As per outcomes, patients with metabolic syndrome vs patients without metabolic syndrome show a higher tendency towards worse clinical outcomes after surgical treatment of ankle fractures. They recommend treating metabolic syndrome together with surgical treatment of ankle fractures. The two groups showed no differences in progression of posttraumatic arthritis, but there is a necessity for performing long-term follow-up to make a definite conclusion.