In this episode, Mo and Marc discuss a recent JBJS article focusing on the results of a large database trial investigating complications after ankle fractures and give their thoughts on operative versus nonoperative treatment, the effectiveness of implant removal, modifiable prognostic factors, and possible future innovations in this area. Links: • Happonen V, Kröger H, Sund R. Complications After Ankle Fracture Surgery in Finland Between 1998 and 2020. J Bone Joint Surg Am. 2024 Jul 3;106(13):1212-1220. doi: 10.2106/JBJS.23.00745. Epub 2024 Apr 29. https://bit.ly/3zVRKfi Subspecialties: • Foot & Ankle • Trauma Keywords: Orthopaedics, orthopedics, JBJS, OrthoEvidence, OE, complications, ankle fracture, infection, reoperations, diabetes, age, ORIF, implant removal, large database studies, prognosis, levels of evidence, comorbidities, pressure, shear forces, fracture boot, splint, weight-bearing, dissection, bimalleolar, lateral malleolar, fracture displacement, nonoperative treatment, functional demands, minimally invasive surgery, nonunion, sequelae, implant removal, smoking, perioperative treatment, rehabilitation, locking implants, intramedullary implants, secondary analysis, RCT, observational trial