The AOFAS score is 92 at twelve weeks follow-up. X noted that the fracture healed without shortening or rotation of the fibula when twelve weeks after surgery (Figure 8). Ankle joint function exercises can be done three weeks after surgery. Patients are then allowed partial weight-bearing after six weeks and progress to weight-bearing. Three weeks after surgery, the patient is required to touch down weight-bearing in a plaster splint. The anterior and posterior ligaments of the inferior tibiofibular ligament are in good condition. It meant there was no dislocation of the distal fibula. CT scan in the transverse section confirmed that the anterior and posterior edge of the distal fibula is in an arc with the fractures of the tibia. Anatomical reduction and perfect stability were confirmed by X and CT postoperatively (Figures 6.7). Volkmann fracture was fixed by buttress plate, and Tillaux-Chaput fracture was performed by hollow screw. The inferior tibiofibular joint was checked carefully. An anterior tibial approach was used to expose the Tillaux-Chaput fracture. A posterolateral approach was used to expose the Volkmann fracture. The anesthetic for the operation was lumbar anesthesia. A computed tomography scan confirmed the presence of Tillaux-Chaput and Volkmann fractures (Figures 3-5). X-ray showed fractures in the tibia lateral border and fibular neck, with no evidence of inferior tibiofibular joint dislocation (Figures 1,2). Specialized physical examination found tenderness in the anterolateral distal tibia and fibular neck. She had difficulty walking because of a painful left ankle. She sprained her left ankle when she went down the stairs. Case descriptionĪ 56-year-old woman was sent to the emergency department by her family. The aim of this study is to introduce a new method-Maisonneuve without transsyndesmotic fixation and analysis the follow-up result.
![maisonneuve fracture maisonneuve fracture](https://casereports.bmj.com/content/bmjcr/12/11/e231961/F1.large.jpg)
When the fibula fractured is without shortening or dislocation, it is still controversial if the inferior tibiofibular joint needs fixation. Operative treatment includes medial malleolus fixation, reduction of the inferior tibiofibular joint, and screw fixation.
![maisonneuve fracture maisonneuve fracture](https://litfl.com/wp-content/uploads/2018/11/maisonneuve-fracture.png)
According to the Lauge - Hansen classification, it is a pronation and external rotation type injury, often resulting in inferior tibiofibular injury. Because it is extremely unstable, it is usually treated surgically. This fracture is usually caused by rotational force. Associated with the posterior tibiofibular ligament or fractures of the posterior malleolus injures sometimes. It includes injury of the medial structure (medial malleolus fracture or deltoid ligament tear), inferior tibiofibular syndesmosis injury, and proximal 1/3 fracture of the fibula. The Maisonneuve fracture was first reported by the French doctor Maisonneuve in 1840. They also can be tender to the touch and make walking or putting any weight on the affected foot very difficult and painful.Ankle fracture is one of the common injuries in the orthopedic department. How serious is a Bimalleolar fracture?īimalleolar fractures can cause severe pain, swelling, and bruising in the injured ankle. This type of fracture often happens as a result of the foot and ankle rolling inward, but it can also be caused by a trip or fall, or by a direct blow to the ankle.Ī bimalleolar (bi-MAL-ee-uh-lur) fracture is a type of broken ankle that happens when parts of both the tibia and fibula called the malleoli are fractured. The prefix “bi” means “two,” so a bimalleolar fracture is one that involves both the medial malleolus and the lateral malleolus. How long does it take to recover from a bimalleolar fracture?Ī bimalleolar fracture usually requires someone to keep weight off the affected foot for a few weeks, but in most cases, people return to normal daily activities within 3 to 4 months. When repairing a Maisonneuve ankle fracture, the medial (inner) side is repaired, and the syndesmosis is repaired.
![maisonneuve fracture maisonneuve fracture](http://www.wikiradiography.net/images/1/1f/312j0ZtQgb1TTUo-2BeGqw572459.jpeg)
![maisonneuve fracture maisonneuve fracture](https://image.slidesharecdn.com/orthoconference-160724145400/95/maisonneuve-fracture-20-1024.jpg)
How is a Maisonneuve fracture treated?Ģ However, the typical treatment of a Maisonneuve fracture is to perform surgery to restore stability to the ankle joint. This extreme force places significant strain on the bones and ligaments that make up the ankle joint and often results in instability. Injury: Maisonneuve fractures are a result of external rotation of a planted foot, most often with pronation of the foot.