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Can any tell that will fibula and ankle fracture needs surgery

So my mom recently got fractured on the fibula and ankle by falling from the stairs. She dislocated he knee, but she pushed it back in the socket. Her ankle was swollen. But I think it was because the doctor wrapped the cast very tightly.
The doctor said that there is a gap between the ankle and the bone. If anyone wants the x-rays I can send them to you.
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