8/28/2023 0 Comments Maisonneuve fracture managementTypically, the pathogenetic mechanism responsible for the injury involves a pronation-external rotation of the ankle 3 and commonly occurs during sport activity undertaken by patients (most frequently skiing, trekking, cycling, ice skating, and dancing) 4.Īccording to the Lauge-Hansen classification based on the trauma-triggering mechanism, Maisonneuve fractures can be classified as Lauge-Hansen PER (pronation and external rotation) 5. A Maisonneuve fracture complex (MFC) refers to a combination of a fracture of the proximal fibula with an injury to the tibiofibular syndesmosis and a lesion of the deltoid ligament or an avulsion fracture of the apex of the medial malleolus. Maisonneuve fracture was described for the first time in 1840 by the French surgeon Jules Germain Francois Maisonneuve 1 and represents around 5% of ankle fractures treated surgically 2. In addition, the combination of robustness and elasticity provided by the use of a double TightRope and plate mimics the normal anatomy of the syndesmosis and guarantees a rapid return to sporting activity. Despite the limitations due to the small number of patients, this study highlights the importance of intraoperative arthroscopy in recognizing and treating associated osteochondral lesions and enabling proper evaluation of the syndesmosis. Two patients reported long-term complications (residual joint stiffness and complex regional pain syndrome).Ĭonclusions. Radiographic parameters continued to improve during follow-up. Patients returned to full weight-bearing walking on average in the ninth week and to sport in 7.5 months. Between January 2018 and December 2020, 8 patients took part in the study and underwent clinical and radiographic follow-up at 1, 3, 6, and 12 months during which we clinically re-evaluated the syndesmosis and determined values for tibiofibular overlap and medial clear space (MCS). To retrospectively evaluate short- and medium-term clinical and radiographic outcomes and the timing of return to sport in patients with Maisonneuve fractures treated in our operational unit by stabilization using a suture-button system and plate combined with arthroscopic assistance (SBPAA).
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