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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Maisonneuve ankle fracture.

J Bartoníček, P Fojtík, E Bunganičová

    Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
    |May 15, 2023
    PubMed
    Summary
    This summary is machine-generated.

    Maisonneuve fracture (MF) is a complex ankle injury involving the fibula and tibiofibular ligaments. Accurate assessment with CT scans and anatomical reduction, often requiring open surgery, are crucial for optimal treatment outcomes.

    Keywords:
    Maisonneuve fractureankle fracture-dislocationsposterior malleolus fractures

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    Area of Science:

    • Orthopedic Surgery
    • Radiology
    • Traumatology

    Background:

    • Maisonneuve fracture (MF) involves fibular fracture and tibiofibular ligament rupture.
    • CT studies reveal MF as a more complex injury than previously understood.
    • Associated injuries, including posterior malleolus fractures, are common.

    Purpose of the Study:

    • To emphasize the complexity of Maisonneuve fractures.
    • To advocate for CT examination as a standard diagnostic tool for MFs.
    • To outline current treatment concepts for MFs.

    Main Methods:

    • Review of recent CT studies on Maisonneuve fractures.
    • Discussion of diagnostic requirements for MFs.
    • Analysis of treatment goals and surgical approaches.

    Main Results:

    • MFs are often associated with posterior malleolus fractures (80%) and distal fibula malposition.
    • Post-injury CT is essential for accurate assessment.
    • Open reduction of the distal fibula is often preferred due to high malposition rates with closed reduction.

    Conclusions:

    • Current concepts of Maisonneuve fractures require substantial revision.
    • Anatomical reduction of the distal fibula into the fibular notch is the primary treatment goal.
    • Postoperative CT scans are necessary to confirm reduction accuracy.