Due to the high rate of chondral lesions, addressing these arthroscopically may contribute to better postoperative results.Īnkle arthroscopy Cartilage lesion Maisonneuve fracture Osteochondral lesion Syndesmotic rupture Tibio-fibular instability. In three talar and one tibial lesion additional arthroscopic bone marrow stimulation with microfracture of the subchondral bone was performed.Īnkle arthroscopy is a helpful method to guide fibular reduction and to detect and address associated cartilage injuries. The aim of this study is to describe the pathoanatomical features of typical Maisonneuve fracture on the basis of radiographs, computed tomography (CT) scans, magnetic resonance imaging (MRI), and intraoperative exploration findings, and to investigate the. The manifestation of such fractures is variable. 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. Objective: Maisonneuve fracture is a special type of injury which are rare in clinic. Details of the trauma, such as the direction of torque force applied to. After average follow-up of 6.4 years, the clinical results were satisfactory in 23 (88.4) patients. Injuries of the cartilage were found in 56% of the cases and in 31% of the patients surgical intervention was required. History All patients with ankle injury should be evaluated for extensive and serious trauma, depending on the circumstances. In all cases, instability of the distal tibiofibular articulation was confirmed arthroscopically. In case of instable cartilage, it was debrided and according to the International Consensus Meeting on Cartilage Repair of the Ankle, in grade IV lesions < 10 mm or < 100 mm 2 area the subchondral bone was microfractured.Įighteen patients, 16 male and two female, with a mean age of 48.1 years, were included. Therefore, the aim of our study was to report the incidence of incidental cartilage injuries and their management in arthroscopic treatment of MFC.īetween February 2018 and February 2021 all patients presenting with MFC in our department were treated with diagnostic ankle arthroscopy and percutaneous syndesmotic screw or suture-endobutton fixation. A Maisonneuve fracture describes a fracture of the proximal fibula. However, the optimal treatment is still not clear and there is limited data on concomitant injuries of cartilage. Ankle fractures are common lower limb fractures often occurring due to low-energy. The Maisonneuve fracture complex (MFC) is a well-known lower leg injury.
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