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General considerations

Preliminary remarks

Nonoperative treatment of infrasyndesmotic ankle injuries is usually only indicated for minimally displaced, stable fractures. However, if the facilities and the skill for safe operative treatment are not available, nonoperative treatment is safer, and if performed correctly and skillfully, it can lead to acceptable results.

In any situation, a displaced ankle fracture should be reduced as soon as possible, even if surgery is planned for the near future as this decreases pain and swelling.