J Korean Foot Ankle Soc.  2007 Jun;11(1):72-78.

Results after Operative Treatment for Maisonneuve Fracture

Affiliations
  • 1Department of Orthopaedic Surgery, College of Medicine, Chosun University, Korea. leejy88@chosun.ac.kr

Abstract

PURPOSE: This study is to analysis the outcome of patient with surgically treated Maisonneuve fracture and find out the factors that might influence the outcome. MATERIAL AND METHODS: 20 patients who had surgical treatment due to Maisonneuve fracture between February, 2001 to March, 2005 were studied. The patients were followed for at least 1 year and average follow up period was 25 months. The average age was 41 years, 16 were male and 4 were female. Mechanism of injury according to Rouge- Hansen classification was supination-external rotation. In all cases, percutaneous screw fixation was applied proximal to tibiofibular syndesmosis. The screws were removed after 8 weeks under local anesthesis. Clinical, functional and radiographic results were evaluated.
RESULTS
17 cases (85%) showed satisfying clinical and radiographic results. The mean functional score according to Ankle Scoring System was 91 (83 to 95). Complication occurred in 1 case with underlying systemic disease and 2 cases with initial ankle joint dislocation.
CONCLUSION
Surgical treatment of Maisonneuve fracture showed relatively satisfying result. However, initial injury state and accompanying disease seem to have great effect on the result.

Keyword

Maisonneuve fracture; Syndesmosis; Percutaneous screw fixation
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