$maisonneuve fracture$

$maisonneuve fracture$

The injury typically consists of a fracture of the proximal fibula with disruption of the distal tibiofibular syndesmosis and a deltoid rupture or medial malleolus fracture. “La fracture du péroné”, or better known as Maisonneuve fracture complex (MFC) was first described by the French surgeon Jacques Gilles Maisonneuve in 1840. Due to the high rate of chondral lesions, addressing these arthroscopically may contribute to better postoperative results. ConclusionsĪnkle arthroscopy is a helpful method to guide fibular reduction and to detect and address associated cartilage injuries. In three talar and one tibial lesion additional arthroscopic bone marrow stimulation with microfracture of the subchondral bone was performed.

$maisonneuve fracture$

Injuries of the cartilage were found in 56% of the cases and in 31% of the patients surgical intervention was required. In all cases, instability of the distal tibiofibular articulation was confirmed arthroscopically. ResultsĮighteen patients, 16 male and two female, with a mean age of 48.1 years, were included. 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 mm 2 area the subchondral bone was microfractured. Patients and methodsīetween 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. Therefore, the aim of our study was to report the incidence of incidental cartilage injuries and their management in arthroscopic treatment of MFC.

$maisonneuve fracture$

However, the optimal treatment is still not clear and there is limited data on concomitant injuries of cartilage. Maisonneuve fracture ankle fractures posterior malleolus fracture tibiofibular syndesmosis.The Maisonneuve fracture complex (MFC) is a well-known lower leg injury. Therefore, CT examination is an indispensable part of assessment of this type of fracture. Maisonneuve fracture includes a wide range of injuries both to bone and ligamentous structures of the ankle. 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. A fracture of the posterior malleolus occurred in 54 (77%) patients. 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. An injury to the anterior and posterior tibiofibular ligaments was found in all 54 patients with open reduction of the distal fibula. Posterior dislocation of the fibula (Bosworth fracture) and tibiofibular diastasis were recorded in 2 cases each. Widening of the tibiofibular clear space was shown by radiographs in 40 cases. In 24% of the patients, the fibular fracture was seen only in the lateral radiograph of the lower leg. In 64 cases, the fibular fracture was subcapital, and in 6 cases it involved the fibular head. After the age of 50, the share of women significantly increased. 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. Operative treatment was used in 67 patients open reduction of the distal fibula into the fibular notch was opted for in 54 of them. A total of 59 patients underwent CT examination in three views, including 3D CT reconstruction in 49 of these patients. Ankle radiographs in three views and lower leg radiographs in two views were performed in all patients. 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. For these reasons we have decided to perform a study on MF epidemiology and pathoanatomy. However, details about this type of injury can be found only rarely in the literature. Maisonneuve fracture (MF) is a generally known entity in ankle trauma.

$maisonneuve fracture$