EG
A 35-year-old female asked:
tip of lateral malleolus fractured. one dr. recomends 4 week cast and the other dr. recomends surgery. confused. i am in a semi cast due to the swelli?
1 doctor answer • 3 doctors weighed in

Dr. Mark Weston answered
Orthopedic Spine Surgery 31 years experience
Ankle fractures: Some patterns do well with casting some do not
Basically it become more about the alignment of the ankle joint if the tibio talar joint is aligned and maintained then no surgery is recommended if the bone is nondisplaced and doesn't invlove the ankle joint e.g. Tip of fibula if the tibio talar joint is displaced then anatomic reduction is attempted to prevent ankle arthritis late hope this helps
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Last updated Oct 5, 2016
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