The most common complication reported from this study of 106 patients was a medial malleolar fracture. Other less common problems were persistent medial ankle pain, infection and a distal tibial fracture. Two patients with the persistent medial ankle pain were later diagnosed with medial impingement, and had a successful surgery to repair this problem. This study showed a slightly higher rate of complication in the osteoarthritis and rheumatoid arthritis groups. These findings at times went with other study reports and at times against other study reports. This probably indicates slight variability between patient groups. Further studies may indicate that different pre surgical diagnosis put a patient at risk for different complications, but at this time it doesn’t appear that this is the case.