Landon Fine, an orthopedic trauma surgeon from Parker, Colorado, and Lauren Crocco, a trauma surgeon from Montefiore Einstein in the Bronx, dive into the complexities of ankle fractures. They dissect a case of a 45-year-old woman injured in a vehicular accident. Their discussion covers crucial surgical decisions, imaging techniques, and the nuances of managing bimalleolar fractures. They explore fixation methods, including the use of screws and clamps, while weighing the pros and cons of early versus cautious post-operative weight-bearing strategies.