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15/12/2019

Is a Maisonneuve fracture serious?

Is a Maisonneuve fracture serious?

Maisonneuve’s name is still used to describe this specific injury pattern. While this is an uncommon type of ankle fracture, it is important because without looking carefully, this may appear to be a less serious injury.

What is a Maisonneuve ankle fracture?

Maisonneuve fracture refers to a combination of a fracture of the proximal fibula together with an unstable ankle injury (widening of the ankle mortise on x-ray), often comprising ligamentous injury (distal tibiofibular syndesmosis, deltoid ligament) and/or fracture of the medial malleolus.

How long does it take to recover from a Maisonneuve fracture?

Stretching and strengthening exercises will allow the patient to return to gradual weight bearing activity at around 8-12 weeks and full weight bearing around 16 weeks. Return to sport after a maisonneuve fracture with rehabilitation occurs generally within a time frame of about 20-24 weeks.

Does a posterior malleolus fracture require surgery?

In most circumstances, we favor immediate operative management. Surgery may be delayed if the patient needs further medical evaluation. Regardless of fracture fragment positioning, as long as a posterior malleolar fracture is present, we ensure that the patient is in a prone position.

How do you fix a Maisonneuve fracture?

Based on this review, some grade B and C recommendations for the treatment of Maisonneuve fractures were formulated, including: 1) the medial malleolus should be fixated, 2) the torn deltoid ligament need not be directly repaired, 3) syndesmotic instability can be treated with one or two 3- or 4-cortical screws and …

How do you get a Maisonneuve fracture?

Injury: Maisonneuve fractures are a result of external rotation of a planted foot, most often with pronation of the foot. This extreme force places significant strain on the bones and ligaments that make up the ankle joint and often results in instability.

How does a Maisonneuve fracture happen?

Maisonneuve fractures are a result of external rotation of a planted foot, most often with pronation of the foot. This extreme force places significant strain on the bones and ligaments that make up the ankle joint and often results in instability.

Why is it called a Maisonneuve fracture?

The Maisonneuve fracture is similar to the Galeazzi fracture in the sense that there is an important ligamentous disruption in association with the fracture. The fracture is named after the surgeon Jules Germain François Maisonneuve.

How do you fix a posterior malleolus fracture?

Most posterior malleolus fractures can be approached using a posterolateral incision, being careful to identify and protect the sural nerve and its branches. A buttress plate or lag screw can be used to fix the fracture.

When should a posterior malleolus fracture be fixed?

The treatment of ankle fractures with the involvement of posterior malleolus remains a subject of debate. Most authors recommend fixation when the fracture comprises >25% of the articular surface.

What kind of injury is a Maisonneuve fracture?

Maisonneuve Fracture is a severe ankle injury which arises due to a spiral fracture of the proximal third of the fibula along with a tear of the distal tibiofibular syndesmosis and interosseous membrane.

When to suspect a Maisonneuve tibiofibular fracture?

Maisonneuve fractures should be suspected whenever there is lateral talar displacement or tibiofibular widening without distal fibula fracture. Stress radiographs and full-length tibiofibular radiographs should be obtained

How long does it take for a Maisonneuve fracture to heal?

Normally, it takes about 8-12 weeks before the patient with Maisonneuve fracture can get back to gradual weightbearing on the affected foot and then gradually progress to full weightbearing on the foot by 16 weeks.

What kind of X-rays are done for a Maisonneuve fracture?

When health care providers suspect a Maisonneuve fracture, full-length X-rays of the fibula and the tibia (your other lower leg bone) are taken. Ankle joint, or mortise, X-rays are done, as well, to assess the joint damage and see if the bones in the joint are out of alignment.