![]() ![]() Volkmann fracture was fixed by buttress plate, and Tillaux-Chaput fracture was performed by hollow screw. The inferior tibiofibular joint was checked carefully. An anterior tibial approach was used to expose the Tillaux-Chaput fracture. A posterolateral approach was used to expose the Volkmann fracture. The anesthetic for the operation was lumbar anesthesia. A computed tomography scan confirmed the presence of Tillaux-Chaput and Volkmann fractures (Figures 3-5). X-ray showed fractures in the tibia lateral border and fibular neck, with no evidence of inferior tibiofibular joint dislocation (Figures 1,2). Specialized physical examination found tenderness in the anterolateral distal tibia and fibular neck. She had difficulty walking because of a painful left ankle. She sprained her left ankle when she went down the stairs. Case descriptionĪ 56-year-old woman was sent to the emergency department by her family. The aim of this study is to introduce a new method-Maisonneuve without transsyndesmotic fixation and analysis the follow-up result. When the fibula fractured is without shortening or dislocation, it is still controversial if the inferior tibiofibular joint needs fixation. Operative treatment includes medial malleolus fixation, reduction of the inferior tibiofibular joint, and screw fixation. 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. This fracture is usually caused by rotational force. Associated with the posterior tibiofibular ligament or fractures of the posterior malleolus injures sometimes. It includes injury of the medial structure (medial malleolus fracture or deltoid ligament tear), inferior tibiofibular syndesmosis injury, and proximal 1/3 fracture of the fibula. The Maisonneuve fracture was first reported by the French doctor Maisonneuve in 1840. Ankle fracture is one of the common injuries in the orthopedic department.
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