Ortho Dx: How would you treat this ankle fracture dislocation?

 

A 51-year-old man presents to the emergency department with left ankle pain and deformity after tripping while hiking. He stepped awkwardly on a rock while climbing down a mountain and felt a "crack" as his ankle gave way. He was transported to the emergency department, where radiographs show a left ankle fracture dislocation. The ankle is ...