Arthroscopy and Percutaneous Internal Fixation in Maisonneuve Fractures. Imaging Evaluation

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Horacio Herrera
Martín Rofrano
Guillermo Azulay
Santiago Andrés
José María Varaona
Francisco Pereira
Francisco Tálamo

Abstract

Introduction: Maisonneuve fracture (MF) is an injury characterized by the subcapital fracture of the fibula associated with a capsuloligamentous injury of the ankle. Treatment involves the restoration of normal bone and capsuloligamentous anatomy in order to reestablish physiological tibiotalar contact forces. This quality of reduction can be difficult to achieve, especially with percutaneous techniques.
Objective: To evaluate the quality of reduction in Maisonneuve fractures reduced in a closed manner (under direct arthroscopic visualization) and fixed percutaneously.
Materials and Methods: We analyzed comparative preoperative and postoperative radiographs and CT scans of the operated and healthy ankles.
Results: 13 fractures were evaluated. Radiographic parameters of postoperative procedures (medial clear space, distal tibiofibular overlap, tibiofibular clear space) did not register differences except for the anterior tibiofibular space, which had increased in 1 case. Postoperative tomographic measurements of tibiofibular clear space and anterior tibiofibular space showed 100% satisfactory reductions. Two patients presented altered distal tibiofibular overlap values with a difference greater than 2 mm compared to the healthy ankle.
Conclusion: We recommend arthroscopy for the management of MF as an intraoperative control tool for safer percutaneous fixation.

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How to Cite
Herrera, H., Rofrano , M., Azulay, G., Andrés, S., Varaona, J. M., Pereira , F., & Tálamo, F. (2024). Arthroscopy and Percutaneous Internal Fixation in Maisonneuve Fractures. Imaging Evaluation. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(2), 132-142. https://doi.org/10.15417/issn.1852-7434.2024.89.2.1713
Section
Clinical Research
Author Biographies

Horacio Herrera, Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Martín Rofrano , Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Guillermo Azulay, Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Santiago Andrés, Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

José María Varaona, Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Francisco Pereira , Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Francisco Tálamo, Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Chief of residents, Orthopedics and Traumatology Service, Hospital Alemán de Buenos Aires, Autonomous City of Buenos Aires, Argentina

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