Maisonneuve fracture

from Wikipedia, the free encyclopedia
Classification according to ICD-10
S82.6 Multiple fractures of the lower leg
ICD-10 online (WHO version 2019)

A Maisonneuve fracture (named after Jules Germain François Maisonneuve , 1809-1897, French. Surgeon) is a high, in-the vicinity of the knee joint fracture of the fibula ( fibula ) with a rupture of the connective tissue membrane between the tibia ( tibia ) and fibula ( Fibula ), the so-called interosseous membrane . The Maisonneuve fracture is one of the ankle fractures of the Weber C fracture type and is known as the high Weber C fracture . Accordingly, the ligament connection between the tibia and fibula at the level of the upper ankle , the so-called syndesmosis , is torn. This leads to instability and misalignment in the upper ankle joint, which in the course of the process leads to increased "wear and tear" in the joint.

The Maisonneuve fracture is often associated with an ankle fracture . Therefore, the ankle joint should be x-rayed along with the entire fibula.

root cause

Mostly an ankle supination trauma is the cause.

therapy

Surgical treatment is indicated. The operation aims to achieve the correct position of the fibula in a corresponding cavity in the shin (so-called incisure ) in order to create the best possible position of both bones in relation to each other in the ankle joint and thus the congruence in the joint. After the reduction , the tibia and fibula are kept at a constant distance by one or two screws to allow the ligament connection between the two bones to heal. These setscrews have to be removed after about six weeks, otherwise they will break when the leg is fully loaded and cannot be completely removed.

See also

Individual evidence

  1. ↑ AWMF - Ankle Fracture Guideline of the German Society for Trauma Surgery

literature

  • Kirschner, P., Brünner, M .: The operation of the Maisonneuve fracture . In: Operative Orthopedics and Traumatology . No. 11 , March 1, 1999, p. 11-18 , doi : 10.1007 / s00064-006-0078-5 .
  • A. Rüter et al. (Ed.): Trauma surgery. 1st edition. Urban & Schwarzenberg, Munich / Vienna / Baltimore 1995, ISBN 3-541-17201-0 .
  • L. Schweiberer (Ed.): Conservative and operative fracture treatment. (= Traumatology. 1 ; Surgical operation theory . Volume VIII). 2nd Edition. Urban & Schwarzenberg, Munich / Vienna / Baltimore 1987, ISBN 3-541-14482-3 .
  • E. Beck (Ed.): Lower Extremity. (= Traumatology. 4 ; Surgical Operations Studies . Volume XI). 2nd Edition. Urban & Schwarzenberg, Munich / Vienna / Baltimore 1987, ISBN 3-541-14482-3 .
  • NM Meenen et al: ankle fracture. Trauma surgery guidelines. 2nd Edition. Thieme, Stuttgart / New York 1998, ISBN 3-13-110262-4 .