The vast majority of fractures of the lower leg, i.e., tibiofibular fractures, require surgical treatment, and only a very small number of tibiofibular fractures do not require surgical treatment due to good fracture alignment, and only require external fixation with a plaster or polymer splint. For surgical treatment of tibiofibular, it is important to avoid the acute stage and the period of relatively serious swelling. Because the tibiofibular distance from the skin is relatively thin, the subcutaneous muscle is less, once infection or skin flap necrosis, it is easy to lead to the leakage of the internal fixation, so in the acute period, we should do the external fixation bracket fixation, and then eliminate the swelling of the lower leg, and to avoid the wound infection of the fracture end, and then consider the surgical treatment after the swelling and inflammation have completely subsided. Surgical treatment is preferred to intramedullary pin internal fixation, followed by plate fixation.