Treatment of patients presenting early
The aim of any reduction (early or late) is to correct the displacement.
Treat the patient as soon as possible, when the deformity is typical, late swelling has not yet appeared and adequate anesthesia can be administered.
Use gravity to help to reduce the fracture.
The patient lies supine on the table, with the lower leg hanging over the end of the table.
The reduction procedure involves holding the heel with the leg internally rotated, so that gravity tends to relocate the foot in a lateral direction.
Detailed reduction will be considered later.