(Disclaimer: This article is for scientific purposes only, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient suffered a severe sprain when going downstairs three months ago, resulting in a fracture, but without systematic treatment, the fracture has not yet healed, and the fracture line is clearly visible in the review of X-rays, and the diagnosis was right triple-ankle fracture, and it was recommended that the patient should be hospitalized for surgical treatment, and the patient should be restored to the right triple-ankle fracture through incisional reduction with internal fixation after completing the preoperative examination. After completing the preoperative examination, the fracture was stabilized by internal fixation with incision and reduction, and the pain was eliminated and the joint function was protected. After surgery, the patient recovered well and her pain was relieved. Basic information] Female, 47 years old [Disease type] Triple ankle fracture [Hospital] Harbin No.1 Hospital [Date of consultation] February 2022 [Treatment plan] Surgical treatment (incision and repositioning of titanium plate screws for internal fixation) + rehabilitation training + ice packs for cold compresses [Treatment cycle] Hospitalization for 7 days, outpatient follow-up after 1 month [Treatment effect] Pain relief, ankle joint activity resumed I. Initial consultation The patient suffered a severe sprain of the right ankle when walking down the stairs, resulting in an ankle fracture, and the injury was relatively serious, with a triple ankle injury, severe destruction of the articular surface, and a significant dislocation of the fracture end on the X-ray examination. It has been 3 months since the patient sustained the right ankle sprain. Due to the lack of systematic treatment, the fracture has not healed and the joint function is severely limited. Today, the patient came to the outpatient clinic for a review of the X-ray, and the fracture line is still clearly visible. The patient was initially diagnosed with right third ankle fracture and was recommended to be hospitalized for surgery. Third ankle fracture belongs to the type of fracture that is not easy to reset, and the patient’s fracture time is long, the fracture broken end has hyperplastic bone spurs formed, which is not conducive to manipulation and reset, the use of incision and reduction internal fixation to clean up the hyperplasia at the broken end of the fracture and fresh fracture surface using internal fixation to stabilize the fracture and maximize recovery of the articulating surface, in order to ensure that the joint function is rehabilitated, the patient after the operation, under the supervision of the rehabilitation doctor, to carry out In order to ensure the functional rehabilitation of the joint, after the surgery, the patients were instructed by the rehabilitation doctor to undergo strict rehabilitation training, including ankle flexion and extension activities, rotational activities, and muscle strength training of the lower limb to promote the recovery of joint. In order to reduce the pain, the patients were instructed to take Loxoprofen sodium tablets orally to eliminate inflammation and reduce the local exudation, which is conducive to the normal progress of the rehabilitation training. After surgical treatment, the patient realized that the pain symptoms were significantly reduced, and even if the ankle joint was actively moved, the pain symptoms could be tolerated and would not interfere with the rehabilitation training process. In addition, after the affected limb was immobilized and elevated, the swelling subsided and the neurosensory conduction function of the toes improved rapidly. Although the pain and swelling symptoms would be aggravated in the course of rehabilitation training, the symptoms could be satisfactorily controlled by timely cold compress treatment after the training, and the patient’s condition improved significantly after one week of treatment, and she was advised to follow up with the clinic regularly after one month and in the future. Fourth, precautions I am glad that the patient’s condition improved significantly after treatment, patients in the surgical treatment, but also need to pay attention to the ankle joint whether there is persistent pain symptoms, in general, need to be followed up for 2-3 years, to ensure that the patient can walk normally, no ankle pain manifestations. If there is pain and joint enlargement, unable to walk normally, need to timely radiographic examination to confirm whether there is traumatic arthritis. If traumatic arthritis is present, readmission to the hospital is required. In mild cases, regular joint injections of sodium vitrate can lubricate the joints and protect the articular cartilage, reducing the clinical symptoms caused by traumatic arthritis and prolonging the service life of the ankle joint, while in severe cases, arthroscopic minimally invasive surgery should be considered to clean up the joint surface, removing the cartilage debris and relieving the symptoms of the joints. V. Personal perception The patient in this case is not very old, and after suffering a triple ankle fracture, it is easy to impair the function of the ankle joint, which may affect daily life. Therefore, a reasonable treatment should be determined in a short period of time after the fracture occurs, so as to keep the fracture end stable as soon as possible to promote fracture healing, and to avoid delaying the treatment, which may lead to worse treatment results. After surgery, the patient’s attention should be focused on the functional recovery of the ankle joint and the elimination of symptoms, and the ideal result is to obtain a stable and pain-free joint, and to do regular review. Careful maintenance of the joint in daily life is also essential for the recovery of joint function, such as heel lifting exercises.