Inadequate conservative treatment of comminuted ankle fractures can easily lead to traumatic arthritis, joint stiffness, and malunion of the fracture, among other hazards. Comminuted ankle fractures often result in significant displacement of the fracture ends, uneven articular surfaces, or a concomitant dislocation of the talus. For fractures involving the articular region, the requirements for repositioning are high, and generally any displacement of the articular surface beyond two millimeters requires surgical correction. If a comminuted fracture of the ankle results in an uneven articular surface that is not repaired in a timely manner, it can cause traumatic arthritis of the ankle joint, which can leave long-term pain in the joint. Prolonged conservative treatment with cast or brace immobilization can cause stiffness of the joint, which may result in limited joint movement if good functional exercises are not provided at a later stage. In addition, if the fracture is not well repositioned, the broken end may lead to malunion, affecting the walking function in the future. Therefore, if you have a comminuted fracture of the ankle joint, you must go to a regular hospital in time and follow the doctor’s instructions for standardized treatment, do not do it on your own, so as not to delay the condition. Generally, if you follow the doctor’s instructions for standardized conservative treatment will also achieve good results.