The treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement.

The purpose of this study is to show that accurate reduction and firm fixation of fractures involving the ankle followed by joint exercises within a few days of operation leads to rapid return of function with consistently good results. Method of treatment-The injuries in this series were treated by open reduction and internal fixation of one or more fractures in order to stabilise the ankle sufficiently to permit active exercise of the joints in bed without delay. When full movements of the ankle and foot had been restored and the swelling had subsided, a below-knee plaster was applied, in which full weight was taken and near normal activity encouraged. The plaster was retained for a relatively short period; after its removal movements were rapidly regained, further remedial treatment being usually unnecessary.