There is no such thing as which is better, nailing or casting for ankle fractures, and the appropriate treatment needs to be chosen according to the condition. If the fracture is simple and not accompanied by fracture and dislocation, it can usually be immobilized by plaster, if it is comminuted fracture or accompanied by obvious displacement, it usually needs to be nailed. After ankle fracture, conservative treatment or surgery should be chosen according to the severity of the injury. If the fracture site of the patient is not displaced and is a simple fracture, it can usually be fixed externally with a plaster, if it is a comminuted fracture or with obvious displacement, it usually needs surgery and internal fixation with steel nails. After a fracture of the ankle occurs, you should go to the hospital for an X-ray examination in time to clarify the severity of the fracture, and the doctor will choose the appropriate treatment.