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The Maisonneuve fracture

S Duchesneau1, L M Fallat

  • 1Department of Podiatric Surgery, Oakwood Downriver Medical Center, Lincoln Park, Michigan 48146, USA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|September 1, 1995
PubMed
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Maisonneuve fractures require surgical fixation to stabilize the fibula and prevent ankle arthrosis. Recommendations for surgical techniques depend on the severity of the diastasis, ensuring optimal outcomes for this complex injury.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Biomechanics

Background:

  • The Maisonneuve fracture, a specific type of proximal fibular fracture with associated ankle syndesmotic disruption, presents diagnostic and therapeutic challenges.
  • Existing literature lacks consensus on optimal surgical indications and fixation strategies for Maisonneuve fractures.
  • Inconsistent management can lead to suboptimal outcomes, including ankle instability and post-traumatic arthritis.

Purpose of the Study:

  • To review the mechanism of injury, classification systems, and surgical fixation techniques for Maisonneuve fractures.
  • To provide evidence-based recommendations for surgical intervention and fixation methods.
  • To highlight the importance of maintaining fibular length and syndesmotic stability.

Main Methods:

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  • Comprehensive literature review of Maisonneuve fracture management.
  • Analysis of biomechanical principles related to ankle stability and fibular length.
  • Synthesis of current surgical techniques and their outcomes.

Main Results:

  • Maisonneuve fractures necessitate surgical intervention to ensure anatomical reduction and stable fibular fixation.
  • Preventing fibular shortening is crucial to avoid valgus talar shift and subsequent degenerative ankle arthrosis.
  • Fixation strategies should be tailored to the degree of tibiofibular diastasis.

Conclusions:

  • Surgical fixation is recommended for Maisonneuve fractures to restore stability and prevent long-term complications.
  • Accurate reduction and stable fixation of the fibula are paramount.
  • Treatment guidelines should consider the severity of diastasis to optimize patient outcomes.