MRCS-1498

A 20 year old army recruit injures her ankle during a training course. On examination, she is seen with a severely swollen ankle, as well as tenderness over the medial malleolus and proximal fibula. X-rays demonstrate a medial malleolar fracture, spiral fracture of the proximal fibula and widening of the syndesmosis. Which of the following is the most appropriate definitive management?