Foot and ankle trauma remains an area of considerable challenge for the treating physician. The confined soft tissue envelope, coupled with high concentrations of force across small joints, produces injuries associated with substantial long-term morbidity. Trauma is experienced in various facets of daily activities, and each year in the United States, fractures and dislocations account for nearly 1 million hospital admissions. 1 The incidence, severity, and mortality of patients suffering polytrauma injuries have declined significantly in the recent years; however, trauma sustained by the foot did not change in comparable ways. 2 Injuries to the foot and ankle are still commonly underestimated or even unnoticed until late in the acute care setting. Foot and ankle trauma encompasses a range of injuries that include fractures of 1 or more of the bones that constitute the foot and ankle and damage to muscles, ligaments, tendons, and neurovascular structures. Trauma is routinely detected by the bone and joint defects, but nonosseous injuries can present a complex combination of gross and microscopic pathologic features. Depending on whether the injury resulted from low or high energy or whether it presents as an open (bone protruding through the skin) or a closed fracture, a significant recovery period may be required. A fracture that heals in a deformed position can cause hindrances, including swelling, pain, inability to bear weight, and inability to wear shoes. Surgeons should initiate treatment as soon as possible, which may be the use of various splinting or bracing constructs or even immediate surgical stabilization of the foot and/or ankle in an external fixator, a metal frame that is put in place with pins inserted into the bone. 3 The external fixator preserves proper length of the joint and can be left in place as the treatment of other injuries continues. 3 Edema in the respective extremity must also be controlled, a process that may take up to several weeks. Furthermore, with