Foot fractures can sometimes be fixed without a cast, as follows: 1. Most foot fractures are not displaced or mildly displaced, and are usually fixed externally with a cast after manual repositioning, or sometimes with a brace in good position. 2. Foot fractures are significantly displaced, and conservative treatment is ineffective when manual repositioning fails. In this case, surgery is needed to restore the stability and alignment of the fracture end by internal fixation with an incisional repositioning plate screw. After surgery, because the internal fixation is more stable, there is no need for adjunctive plaster fixation, and some patients can be fixed with or without short-term adjunctive bracing. Early rehabilitation of the patient after surgery to avoid joint stiffness and muscle atrophy of the lower extremity can facilitate early recovery. Therefore, the decision to apply a cast after a foot fracture should be based on the type of fracture, and many patients do not require a cast.