Results after Operative Treatment for Maisonneuve Fracture.
- Author:
Jun Young LEE
1
;
Sang Ho HA
;
Hong Moon SOHN
;
Kwang Chul LEE
Author Information
1. Department of Orthopaedic Surgery, College of Medicine, Chosun University, Korea. leejy88@chosun.ac.kr
- Publication Type:Original Article
- Keywords:
Maisonneuve fracture;
Syndesmosis;
Percutaneous screw fixation
- MeSH:
Ankle;
Ankle Joint;
Classification;
Dislocations;
Female;
Follow-Up Studies;
Humans;
Male
- From:Journal of Korean Foot and Ankle Society
2007;11(1):72-78
- CountryRepublic of Korea
- Language:Korean
-
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.
