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The time has arrived when all congenital heart surgeons should consider surgical simulation training before progressing to real-life operating in a similar fashion to the aviation industry where all pilots are required to complete simulation training before flying a real aircraft. It is argued here that simulation training is not an option anymore but should be a mandatory component of CHS training. Although ankle fractures are among the most common fractures, nationwide population-based data on the epidemiology of patients with ankle fractures are scarce.