Maisonneuve fractures are a part of syndesmotic lesions. Therefore, in theory, a Maisonneuve fracture is unstable, since both columns are affected.
But if it is ruptured on 2 places, it becomes unstable. Key words: Maisonneuve fracture, fracture-dislocation of ankle, therapy, diagnosis. If the ring is ruptured on one place, which means that only one column is broken, the joint remains stable. The Maisonneuve fracture does badly with conservative treatment, requiring instead. In case of contrasindication of surgical treatment a high cast has to be applied extending above the knee in the internal rotation of the lower limb. spiral fracture of the upper fibula fracture of the tibia at the ankle. On this basis it may be concluded that surgical therapy in the shortest possible interval after the trauma with the use of 2 transfixation (positioning) screws and fixation of medial melleolus or by suture of deltoid ligament is fully indicated. The follow-up covered 10 patients after acute operation, of which in 7 patients the result was exellent, in 1 patient good and 2 patients evaluate the condition as satifactory. In patients with the resulting poor outcomes after the fracture, reconstruction was performed in 1 case and in case of ankle fusion 4 times. In all patients surgical therapy was indicated: 14 times - the method of insertion of two parallel transfixation (positioning) screws, 5 times - the method of insertion of 1 screw combined with plaster cast fixation. Another 5 patients were managed for poor results of the management of this fracture treated at other Clinic. This number represets 5 % of all patients treated acutely for fracturedislocation of ankle. The Gold standard treatment is the surgical treatment that includes a reduction of the distal tibiofibular joint and fixation with a syndesmotic screw. Recognizing and appropriately treating these injuries is key in the.
Nineteen patients with acute Maisonneuve fracture of ankle were treated at the Orthopaedic Clinic IPVZ FN Bulovka in 1993-1997. adult, associated with a Volkmann fracture and a Maisonneuve fracture, that were.
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