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Holding the reduced position

With an assistant:

The assistant stands on the medial side of the injured leg and maintains some flexion of the knee and the right angle position of the ankle, pressing gently on the knee and holding the big toe forwards in line with the patella.

This usually holds the reduction that has been achieved and allows the operator to apply the padding and the plaster cast.

Tip

Avoid strong dorsiflexion of the foot as this can cause posterior displacement of the talus, as previously discussed under reduction of displaced ankle fractures.