[Progress and main points in treatment of acute foot and ankle injuries]

To give a review and commentary on the treatment of acute foot and ankle injuries.

Based on the treatment experience and recent literature, a commentary on acute foot and ankles injuries were given, included the basic and clinical research results, evaluation before operation, and treatment methods of the soft tissue and bone injuries.

The treatment of acute foot and ankle injuries is still a hot point in orthopaedic surgery. Operative and non-operative treatment of fresh Achilles tendon rupture can achieve satisfactory results, and early weight-bearing do not increase the re-rupture rate. The time delay between first debridement and injury within 24 hours does not increase the infection rate. For the treatment of severe ankle fractures, attentions should be paid to the cartilage injury, and anatomic reduction, good realignment, and the congruity recovery are very important. The treatment determination of calcaneal fractures depends on the fully understanding injury mechanisms, classifications, and treatment method. Talus fractures should try to be treated by experienced surgeons. Operation and fixation methods of Lisfranc injury depends on different injury types.

Acute foot and ankle injuries are common in clinical, to achieve a satisfactory result in evaluation and treatment, it is important to have a fully evaluation of the injury type, and choose best operation time and suitable treatment methods, as well as to fully understand the biomechanical characteristics of different regions.