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Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture
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"Double Maisonneuve fracture": an unknown fracture pattern.

Štěpán Kašper1, Jan Bartoníček1, Stefan Rammelt2

  • 1Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice 1200, 169 02, Prague 6, Czech Republic.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|September 14, 2021
PubMed
Summary

The rare "Double Maisonneuve fracture" involves lateral malleolus and high fibula fractures. Early recognition through clinical and radiological assessment, including CT scans, is crucial for proper diagnosis and management.

Keywords:
Ankle fracturesAnterior malleolusMaisonneuve fracturePosterior malleolusTibiofibular syndesmosisTrimalleolar fractures

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Radiology

Background:

  • The "Double Maisonneuve fracture" is a complex lower leg injury.
  • This fracture pattern combines lateral malleolus and high fibular fractures.
  • It results from a specific dislocation mechanism and may be underreported.

Purpose of the Study:

  • To describe the pathoanatomy of the "Double Maisonneuve fracture".
  • To increase awareness of this specific fracture pattern.
  • To highlight the diagnostic challenges and importance of thorough examination.

Main Methods:

  • Retrospective analysis of 11 patients diagnosed with "Double Maisonneuve fracture".
  • Radiographic and CT imaging were used to detail individual lesions.
  • Intraoperative findings were correlated with imaging results.

Main Results:

  • Fractures varied in classification (Weber types B and C for distal fibula).
  • Proximal fibular fractures were predominantly subcapital oblique spiral.
  • Associated injuries included deltoid ligament, medial malleolus, and posterior malleolar fractures, along with tibiofibular ligament injury.

Conclusions:

  • The "Double Maisonneuve fracture" is rare but potentially underdiagnosed.
  • Thorough clinical examination is essential.
  • Comprehensive radiological assessment, including CT, aids in accurate diagnosis.