The Maisonneuve fracture.

The authors present a review of the mechanism of injury, classification, and surgical fixation techniques of the Maisonneuve fracture. Previous literature is inconsistent regarding operative criteria and appropriate fixation techniques. The authors recommend surgery of the Maisonneuve fracture to maintain reduction and to stabilize the fibula, preventing the shortening with resultant valgus talar shift that can result in painful degenerative ankle arthrosis. Recommendations are also made regarding fixation, based on the severity of the diastasis.