请大家帮忙看看这种骨折需要石膏或夹板固定或复位吗？

3月20日在冰面上滑倒，导致左腿腓骨近端和远端两处骨折。前两张是腓骨远端的骨裂. 后三张是腓骨近端膝盖下三寸左右的骨折。去了急诊，医生说不用手术。但是当时的急诊医生只给脚踝照了X-Ray，说有规定，他们急诊医生没有权限照腿部，当时一再跟他说腿部那儿很疼。但是他们说腿部最晚一周左右会有骨科医生给你打电话。所以后三张照片是3月26号骨科医生给照的。同样骨科医生也没有说要固定或打石膏也说不用手术。两次的报告如下：

XR ANKLE 2 OR 3 VW LEFT - DetailsPrinter friendly page--New window will open


Details
Study Result
Narrative
LEFT ANKLE 3 VIEWS

CLINICAL INFORMATION: Fall.

FINDINGS: There is no prior study for comparison.

There is a nondisplaced obliquely oriented fracture through the distal fibula, just below the level of the tibiotalar joint.

Tibiotalar joint spacing is normal. Mineralization and joint spacing are maintained.

There is moderate soft tissue swelling over the lateral malleolus.


Collected on 20/03/2024 4:23 PM
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XR ANKLE 2 OR 3 VW LEFT - DetailsPrinter friendly page--New window will open


Details
Study Result
Narrative
XR TIBIA FIBULA 2 VW LEFT, XR ANKLE 2 OR 3 VW LEFT 3/26/2024 10:10 AM

INDICATION: "proximal fibular pain r/o fracture"
COMPARISON: March 20, 2024 ankle radiographs

Findings: There is a nondisplaced oblique fracture of the proximal fibular diaphysis.

Dedicated stress views of the left ankle redemonstrate the nondisplaced distal fibular fracture. There is no further displacement on stress views and the ankle mortise remains congruent.


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