Department of Orthopaedics and Traumatology, San Camillo Hospital, Rome, Italy..
Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Italy..
Acta Biomed. 2022 May 11;93(2):e2022050. doi: 10.23750/abm.v93i2.11563.
. We report a Maisonneuve case of reoperation with proximal fibula fracture, diastasis of syndesmosis and parcel posterior detachment of the third malleolus.
We report a case of 49- year old patient with a Maisonneuve fracture. The first surgery has failed with three-cortical screw rupture. The second surgery was based on the implantation of quadricortical screw, zip tight and fibula elongation with autograph. The results were excellent despite the patient having contracted Covid-19 virus during rehabilitation.
Maisonneuve fracture is a misdiagnosed fracture. The diagnosis may be made by RX or TC of lower limb. There are many treatments provides to stabilized and reduced the ankle. We believe the gold standard is the correct realignment of syndesmosis and a strong synthesis.
The Maisonneuve fracture accounts for 7% of all ankle fractures but misdiagnosed. We emphasize the importance of making good diagnosis of this fracture for an excellent surgical result and avoiding the chronic complications of incorrect treatment. In this case the physical rehabilitation is delayed by covid-19 infection so we suggest to carry out studies on post-operative period in orthopedic patients during this global pandemic.
报告一例 Maisonneuve 骨折再手术病例，合并腓骨近端骨折、下胫腓联合分离和后三踝部分撕脱。
报告一例 49 岁 Maisonneuve 骨折患者。第一次手术失败，三皮质螺钉断裂。第二次手术采用 quadricortical 螺钉、Zip 固定和自体腓骨延长。尽管患者在康复期间感染了新冠病毒，但结果仍为优。
Maisonneuve 骨折是一种易误诊的骨折。诊断可通过下肢的 RX 或 CT 进行。有多种治疗方法可以稳定和复位踝关节。我们认为金标准是正确对齐下胫腓联合和牢固的合成。
Maisonneuve 骨折占所有踝关节骨折的 7%，但易误诊。我们强调正确诊断这种骨折的重要性，以获得良好的手术效果，并避免不正确治疗的慢性并发症。在这种情况下，新冠病毒感染导致物理康复延迟，因此我们建议在全球大流行期间对骨科患者的术后期间进行研究。
