A comminuted fracture of the right tibiofibula requires surgery and can be treated conservatively in mild cases. Since the tibiofibula is the main bone that connects the femur to the lower part of the femur to carry weight, its continuity and integrity are crucial for limb movement. The fracture is comminuted and has many fracture fragments, so non-surgical treatment is ineffective in reducing the fracture, and the stability after reduction is poor, which is very easy to cause complications (fracture deformity healing or non-healing, deep vein thrombosis in the lower limb, osteofascial compartment syndrome, and pneumonia), and the situation can be life-threatening. Advantages of surgical treatment: 1. Surgery can restore the strength and shape of the affected limb as much as possible, and give the affected limb a more stable internal fixation, so that the function of the affected limb is better guaranteed, and functional exercise can be carried out at an early stage. 2. It can greatly reduce the probability of the above complications. 3. It can greatly reduce the recovery time of comminuted fracture. The specific treatment should be decided by the doctor.