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General considerations

Preliminary remarks

Definitive treatment of suprasyndesmotic ankle injuries with a cast is rarely indicated .

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 may 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 reduced pain and swelling.