A bi-malleolar fracture is characterized by:

fracture to the medial malleolus and posterior tip of tibia
fracture to the talus and lateral malleolus
fracture to the medial and lateral malleolus
fracture to the talus and the medial malleolus


fracture to the medial and lateral malleolus

Rationale: Bi-malleolar fracture includes fracture of both the medial and lateral malleolus.

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