New therapy option: Maisonneuve fracture without transsyndesmotic fixation

Abstract

Ankle fracture is one of the common injuries in the orthopedic department, the Maisonneuve fracture is a specific type of ankle injury. This fracture is usually caused by rotational force. According to the Lauge -Hansen classification, it is a pronation and external rotation type injury, often resulting in inferior tibiofibular injury. Because it is extremely unstable, it is usually treated surgically. Operative treatment includes medial malleolus fixation, reduction of the inferior tibiofibular joint and screw fixation. When the fibula fractured is without shortening or dislocation, it is still controversial if the inferior tibiofibular joint needs fixation. This study aims to introduce a new method-Maisonneuve without transsyndesmotic fixation and analysis the follow-up result.