Fractures about the malleoli, unless open, are rarely emergencies. We often prefer to send the patient home to rest overnight, with the leg elevated, and to apply ice packs to reduce the swelling. A posterior slab can provide some degree of pain relief in the interim. A cast can be applied early the next morning. This commonly applied cast is suitable for injuries around the ankle or foot.
Most people find it easier to work at the heel end.
Apply the stockinette. 2 Step 3 Apply cast padding. Apply extra padding over the malleoli, Achilles tendon area and the heads of the metatarsals. Dip the second roll of plaster into the water. You don't need a lot of cast pressure or strength here.