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Surgery versus cast

Diagnosed with trimalleor fx left ankle  scheduled surgery 25 days from injury. Bones are in perfect alignment. Starting to feel better. Already have osteoarthritis at the second TMT joint. Also have proximal fibula fracture. Been diagnosed with severe osteoporosis of left femur. Six months ago fractured medial femoral condyle distal. Don't feel as though  I'm a good surgical candidate. Would like to know your thoughts.
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