Agreement: I Agree Body: Dear Editor Kortekangas et al. conducted a randomised clinical trial to compare the clinical outcomes between cast immobilisation and surgery (1). Cast immobilisation was non-inferior to surgery for the treatment of unimalleolar Weber B ankle fractures. The authors also mentioned that fewer treatment-related harms occurred with cast immobilisation compared with surgery. I present my comments. Out of the 840 patients assessed for eligibility, 687 patients were excluded as