摘要Bosworth ankle fracture-dislocation is rare,known to be an irreducible type of ankle injury,with a high incidence of complication.We present two cases of even rarer variants of Bosworth ankle fracturedislocation.The first case is a type of supination external rotation adduction,and the second case is a type of supination external rotation adduction.These types have not been described before.In both of the cases we failed to achieve close reduction,and therefore proceeded with emergency surgeries,with open reduction and internal fixation.Both of the cases were performed with a postero-lateral approach to reduce the dislocations,and fix the fractures successfully.Unfortunately in one of the cases,acute compartment syndrome developed post-surgically.However,both cases showed good functional outcomes.