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Application of the cast

Positioning in undisplaced fractures

Fractures with injuries to both medial and lateral sides are unstable in rotation and the reduction can only be controlled by an above-knee cast.

In minimally displaced isolated transsyndesmotic lateral fractures, reduction is not necessary, and a below-knee cast will suffice.

The below knee portion of the plaster cast will be applied on the hanging leg (knee flexed to 90 degrees and ankle held at 90 degrees).