reduction and stabilization of the fibular fractureįracture involving distal 2/3 of the fibula may compromise ankle mortise, and so may benefit from surgery 6įracture involving proximal 1/3 fibula often managed non-operatively A Maisonneuve fracture complex (MFC) refers to a combination of a fracture of the proximal fibula with an injury to the tibiofibular syndesmosis and a lesion. ligamentous injuries may be managed non-operatively The proximal fibula may also be fractured (called a Maisonneuve fracture) when the medial malleolus is fractured, the ankle mortise (the joint between the. Maisonneuve fracture was described for the first time in 1840 by the French surgeon Jules Germain Francois Maisonneuve 1 and represents around 5 of ankle fractures treated surgically 2. Reduction and stabilization of medial malleolus fracture and/or ligamentous injuries 6 In some cases, internal fixation of a posterior malleolar fracture fragment may result in sufficient stabilizationįixation screws may or may not be removed after several weeks of healing 6 bioabsorbable constructs, syndesmotic staples, hooks, or cerclage wires) commonly achieved by trans-syndesmotic screws. Alternative stabilization mechanisms exist (e.g. Internal fixation of the distal tibiofibular syndesmosis 6 Treatment and prognosisĪlthough management is variable depending on the complexity of injuries, this type of fracture pattern is generally managed by operative treatment.
Maisonneuve fracture management plus#
The Maisonneuve fracture is defined by the above findings plus a proximal fibular fracture (high Weber C), usually in the proximal third 7. The Maisonneuve fracture is typically a result of excessive, external rotative force being applied to the deltoid and syndesmotic ligaments. When these ankle injury types are seen without a fracture of the lateral malleolus, further imaging of the entire fibula is recommended. Ankle views may show a fracture of the medial malleolus or widening of the medial ankle joint space due to deltoid ligament injury, as well as widening of the distal tibiofibular syndesmosis.
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