Recommendations for future research were also formulated and described in this report.Ĭopyright © 2011 American College of Foot and Ankle Surgeons. Maisonneuve fracture treatment is surgical, with anatomic reduction and syndesmosis stabilization. All patients had one or two suprasyndesmotic. Based on this review, some grade B and C recommendations for the treatment of Maisonneuve fractures were formulated, including: 1) the medial malleolus should be fixated, 2) the torn deltoid ligament need not be directly repaired, 3) syndesmotic instability can be treated with one or two 3- or 4-cortical screws and these can be placed percutaneously, and 4) the proximal fibular fracture does not require direct internal fixation. The goal of treatment was the anatomic restoration of the ankle mortice with accurate renewal of fibular length.
Nondisplaced fractures can be treated with an air cast those with. Although the authors did not compare the different treatment strategies described in the reports, the overall outcomes were generally good, and included 74 (89%) patients in which the outcome was considered good or excellent, and 9 (11%) patients in which the outcome was considered fair or poor. Treatment is dictated by the degree of pain and the involvement of the ankle joint. Six level 4 (case series, N ≥ 5) studies, describing a total of 83 patients with a Maisonneuve fracture, were included in the review. Operative treatment is the treatment of choice for Maisonneuve fractures, and a satisfactory outcome may be anticipated after appropriate management of any associated bony and syndesmotic injuries.
#MAISONNEUVE FRACTURE MANAGEMENT TRIAL#
Medline via PubMed, Orthopaedic Trauma Association (OTA) annual meetings' abstracts archives Web site, Embase, the Cochrane Database of Systematic Reviews, and the Cochrane Clinical Trial register were searched for the period extending from January 1970 to May 2009 in order to identify studies relating to the treatment of Maisonneuve ankle fractures. The operative treatment of Maisonneuve fractures involves three primary aims: 1) reduction and stabilization of the fibular fracture, 2) reduction and. The objective of the current study was to review the published clinical evidence available for the treatment of Maisonneuve fractures.
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