scholarly journals Maisonneuve fracture

2021 ◽  
Author(s):  
Yair Glick
Keyword(s):  
Maisonneuve Fracture

Maisonneuve fracture

2020 ◽  
Vol 99 (2) ◽  
pp. 77-85
Keyword(s):  
Open Reduction ◽  
Lower Leg ◽  
Fracture Dislocation ◽  
Deltoid Ligament ◽  
Ct Reconstruction ◽  
Distal Fibula ◽  
Ct Examination ◽  
Maisonneuve Fracture ◽  
Fibular Fracture ◽  
Wide Range

Introduction: Maisonneuve fracture (MF) is a generally known entity in ankle trauma. However, details about this type of injury can be found only rarely in the literature. For these reasons we have decided to perform a study on MF epidemiology and pathoanatomy. Methods: The group comprised 70 patients (47 men, 23 women), with the mean age of 48 years, who sustained an ankle fracture-dislocation involving the proximal quarter of the fibula. Ankle radiographs in three views and lower leg radiographs in two views were performed in all patients. A total of 59 patients underwent CT examination in three views, including 3D CT reconstruction in 49 of these patients. MRI was performed in 4 patients. Operative treatment was used in 67 patients; open reduction of the distal fibula into the fibular notch was opted for in 54 of them. Results: The highest MF incidence rate was recorded in the 5th decade in the whole group and in men, while in women the peak incidence was in the 6th decade. After the age of 50, the share of women significantly increased. In 64 cases, the fibular fracture was subcapital, and in 6 cases it involved the fibular head. In 24% of the patients, the fibular fracture was seen only in the lateral radiograph of the lower leg. Widening of the tibiofibular clear space was shown by radiographs in 40 cases. Posterior dislocation of the fibula (Bosworth fracture) and tibiofibular diastasis were recorded in 2 cases each. An injury to the anterior and posterior tibiofibular ligaments was found in all 54 patients with open reduction of the distal fibula. A fracture of the medial malleolus was identified in 27 cases (39%) and a complete lesion of the deltoid ligament in 36 cases (51%); in 7 cases (10%) the medial structures were intact. A fracture of the posterior malleolus occurred in 54 (77%) patients. Osteochondral fracture of the talar dome was diagnosed in 2 patients and compression of the articular surface of the distal tibia in the region of the fibular notch in 1 patient. Conclusion: Maisonneuve fracture includes a wide range of injuries both to bone and ligamentous structures of the ankle. Therefore, CT examination is an indispensable part of assessment of this type of fracture.

Maisonneuve Fracture: A Rare But Significant Injury

1998 ◽  
Vol 3 (2) ◽  
pp. 15-16
Author(s):  
Joellyn M. Seward ◽  
Marjorie J. Albohm
Keyword(s):  
Maisonneuve Fracture ◽  
Significant Injury

The Maisonneuve Fracture of the Fibula

1993 ◽  
Vol &NA; (287) ◽  
pp. 218???223 ◽  
Author(s):  
KEITH DOUGLAS MERRILL
Keyword(s):  
Maisonneuve Fracture

MAISONNEUVE FRACTURE EQUIVALENT WITH PROXIMAL TIBIOFIBULAR DISLOCATION

2006 ◽  
Vol 88 (5) ◽  
pp. 1111-1116 ◽  
Author(s):  
B. A. LEVY ◽  
K. J. VOGT ◽  
D. A. HERRERA ◽  
P. A. COLE
Keyword(s):  
Maisonneuve Fracture

Maisonneuve Fracture without Deltoid Ligament Disruption: A Rare Pattern of Injury

2010 ◽  
Vol 49 (1) ◽  
pp. 86.e11-86.e17 ◽  
Author(s):  
Ioannis Charopoulos ◽  
Constantinos Kokoroghiannis ◽  
Spyridon Karagiannis ◽  
George P. Lyritis ◽  
Nikolaos Papaioannou
Keyword(s):  
Deltoid Ligament ◽  
Pattern Of Injury ◽  
Maisonneuve Fracture ◽  
Ligament Disruption

Syndesmotic Screw Placement: A Biomechanical Analysis

1997 ◽  
Vol 18 (5) ◽  
pp. 262-266 ◽  
Author(s):  
Angus McBryde ◽  
Brett Chiasson ◽  
Andrew Wilhelm ◽  
Frank Donovan ◽  
Tamara Ray ◽  
...  
Keyword(s):  
Proximal Tibia ◽  
Screw Fixation ◽  
T Test ◽  
Biomechanical Analysis ◽  
Screw Placement ◽  
Tibiotalar Joint ◽  
Maisonneuve Fracture ◽  
Syndesmotic Screw ◽  
Group I ◽  
The Right

At the present time, syndesmotic screw fixation is recommended when there is a tibiofibular diastasis, a Maisonneuve fracture, or syndesmotic instability after fixation of distal tibia-fibula fractures. The aim/purpose of this study was to demonstrate the optimal level of syndesmotic screw placement before creation of a Maisonneuve fracture. Legs of 17 embalmed cadavers underwent knee disarticulation. The legs were then dissected to expose the syndesmosis/interosseous membrane. The paired cadaver legs were tested in two groups. In group I (10 pairs), the left legs were tested without any syndesmotic fixation and the right legs were tested with the syndesmosis fixed at 2.0 cm above the tibiotalar joint. In group II (7 pairs), the syndesmosis in each left leg was fixed at 3.5 cm above the tibiotalar joint and the right leg syndesmosis was fixed at 2.0 cm above the tibiotalar joint. After ligament section and syndesmosis fixation, each leg was then jig mounted with transfixing wires through the proximal tibia and calcaneus. The ankle was placed in neutral with 15° of pronation and a load of 150 pounds and a strain gauge anchored medially and laterally. The proximal tibia was internally rotated while the ankle was held fixed until syndesmotic, bony, or hardware failure occurred. Torsional force, the degree of rotation and the amount of syndesmotic widening were quantitated. Two-tailed t-test comparing no fixation with fixation at 2.0 cm indicated less syndesmotic widening with screw placed at 2.0 cm ( P = 0.04). Two-tailed t-test comparing screw fixation at 2.0 cm and 3.5 cm indicated less syndesmotic widening with screw placed at 2.0 cm ( P = 0.07). It would seem reasonable to place a syndesmotic screw at 2.0 cm above tibiotalar joint.

scholarly journals Arthroscopic findings and treatment of maisonneuve fracture complex

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Lukas Fraissler ◽  
Georg Mattiassich ◽  
Lars Brunnader ◽  
Lukas A. Holzer
Keyword(s):  
Subchondral Bone ◽  
Ankle Arthroscopy ◽  
High Rate ◽  
Level Of Evidence ◽  
Bone Marrow Stimulation ◽  
International Consensus ◽  
Concomitant Injuries ◽  
Maisonneuve Fracture ◽  
Arthroscopic Findings ◽  
Cartilage Injuries

Abstract Background The Maisonneuve fracture complex (MFC) is a well-known lower leg injury. However, the optimal treatment is still not clear and there is limited data on concomitant injuries of cartilage. Therefore, the aim of our study was to report the incidence of incidental cartilage injuries and their management in arthroscopic treatment of MFC. Patients and methods Between February 2018 and February 2021 all patients presenting with MFC in our department were treated with diagnostic ankle arthroscopy and percutaneous syndesmotic screw or suture-endobutton fixation. In case of instable cartilage, it was debrided and according to the International Consensus Meeting on Cartilage Repair of the Ankle, in grade IV lesions < 10 mm or < 100 mm2 area the subchondral bone was microfractured. Results Eighteen patients, 16 male and two female, with a mean age of 48.1 years, were included. In all cases, instability of the distal tibiofibular articulation was confirmed arthroscopically. Injuries of the cartilage were found in 56% of the cases and in 31% of the patients surgical intervention was required. In three talar and one tibial lesion additional arthroscopic bone marrow stimulation with microfracture of the subchondral bone was performed. Conclusions Ankle arthroscopy is a helpful method to guide fibular reduction and to detect and address associated cartilage injuries. Due to the high rate of chondral lesions, addressing these arthroscopically may contribute to better postoperative results. Level of evidence IV

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