![]() Key words: Maisonneuve fracture, fracture-dislocation of ankle, therapy, diagnosis. 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. 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. Although management is variable depending on the complexity of injuries, this type of fracture pattern is generally managed by operative treatment. 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. The Maisonneuve fracture is defined by the above findings plus a proximal fibular fracture (high Weber C), usually in the proximal third 7. ![]() The purpose of this study was to describe. Literature does not establish well-defined criteria for the decision of conservative treatment for Maisonneuve fractures. All patients had one or two suprasyndesmotic. In patients with the resulting poor outcomes after the fracture, reconstruction was performed in 1 case and in case of ankle fusion 4 times. ( 19) published a case report of conservative treatment of a Maisonneuve fracture with integrity of the deltoid ligament, and with a non-weight bearing protocol. The goal of treatment was the anatomic restoration of the ankle mortice with accurate renewal of fibular length. 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. A fractured ankle can range from: A simple break in one bone, which may not stop you from walking, to Several fractures, which may require surgery. ![]() This means that one or more of the bones that make up the ankle joint are broken. Another 5 patients were managed for poor results of the management of this fracture treated at other Clinic. Diseases & Conditions Ankle Fractures (Broken Ankle) A broken ankle is also known as an ankle fracture. This number represets 5 % of all patients treated acutely for fracturedislocation of ankle. Nineteen patients with acute Maisonneuve fracture of ankle were treated at the Orthopaedic Clinic IPVZ FN Bulovka in 1993-1997. ![]()
0 Comments
Leave a Reply. |