On this episode of GaitKeepers Journal Club, we are joined by Dr. Brian Burgess, DPM. The conversation revolves around the use of fibular nails in treating ankle fractures. The speakers discuss the evolution of fibular nail technology, indications for their use, and techniques for achieving optimal reductions during surgery. They also touch on postoperative care, including weight-bearing protocols, and the importance of syndesmosis fixation in certain cases. The dialogue emphasizes the need for continuous learning and adaptation in surgical practices based on emerging evidence and personal experiences. This conversation delves into the complexities of fibular nail usage in fracture management, discussing quality reviews, reduction techniques, and the learning curve associated with these surgical procedures. The speakers explore the clinical significance of reduction quality, the challenges faced with fibular nails, and the necessity of these tools in modern orthopedic surgery. They also address the learning curve for new surgeons and the importance of understanding the principles behind fibular nailing, ultimately concluding with insights into future research directions.