Interventions for treating ankle fractures in children

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Using an ankle brace rather than a rigid cast, especially a non-removable walking cast, may result in quicker recovery in children with minor ankle fractures (undisplaced growth-plate fractures of the distal fibula). There is no evidence to inform on the management, including surgery, of more serious ankle fractures.

Ankle fractures in children usually result from a twisted ankle. Minor fractures are often diagnosed clinically because the undisplaced growth-plate fracture is not evident on X-rays. Typically, these fractures are treated by placing the injured leg in a removable fibreglass splint or a plaster cast. Displaced and other serious fractures are often treated surgically. Serious disruption of the growth plates may result in leg deformity in the long term.

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