I stepped wrong off a loose concrete step in my cousin's garage. HURT. tried to stand up, absolutely not a possibility. My immediate thought was "oh, this isn't good." Since I was on vacation visiting family, had to be taken to local ER about 30 country miles across cornfields in the middle of the night. Was treated really well, X-rayed and splinted, informed of fracture, directed to follow up with Ortho. I decided to wait, fly home and get it fixed in my own hospital for reasons of money, insurance and professionaly courtesy. So, 4 days later I flew from the rust belt to the sunbelt, using airport wheelchair "service" got home and saw my orthodoc. He look at x-ray, says, holy scheizze, were going to the OR NOW. I nove have pilon fracture of right ankle reconstructed with multiple plates, screws and pins.....5 months off work, still digging out of financial quagmire. But I learned a lot whitch makes me a better nurse now....thats a whole nother thang.