Clinical and PROMIS Outcomes of Maisonneuve Fractures
In: Foot & Ankle Orthopaedics, Jg. 7 (2022), Heft 1, S. 2473011421S0008
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Category: Ankle; Trauma Introduction/Purpose: Torsional injury to the foot and ankle may result in high fibular fracture with disruption of the syndesmotic ligaments, interosseous membrane, and other associated injuries to medial, posterior structures of the ankle. High Fibular Fracture at the fibular neck is referred as Maisonneuve Fracture of Fibula (MFF). These injuries are often missed or misdiagnosed as ankle sprains. Most of the current classification consider MFF a variant of ankle fracture with disruption of syndesmosis and high fibular fracture {Lauge Hansen PER, AO C3, Weber type C}. Only a few articles have described associated injuries and surgical treatment outcomes. The study's primary aim is to evaluate the associated injuries of MFF and the outcomes of our treatment approach. Methods: All patients undergoing syndesmotic fixation (CPT 27829) at a large tertiary academic center from 2012-2020 were identified. In these 748 patients, patient radiographs were reviewed to identify patients with Maisonneuve fractures (AO-44C3). Medical records were reviewed for patient characteristics, energy information of original injury, operative variables, and complications. Radiographic reduction was assessed on standard radiograph with assessment of the tibiofibular clear space and tibiofibular overlap on AP and mortise views, talocrural angle, the medial clear space, shenton line, and fibular station. An abnormality in one of these parameters was considered an abnormal reduction. Patients were contact to complete PROMIS Physical function and Pain Interference postoperatively. A total of 24 patients with Maisonneuve fractures were identified and included in analysis. Eleven patients completed PROMIS outcomes measures for a response rate of 55%, as four patients were deceased or incarcerated at the time of survey. Results: The average age was 45.3 (16 SD) with a mean BMI of 31.3 (10.4 SD). Nineteen patients were male (79.2%) with only 5 females (20.8). The mechanism of injury was low energy in 16/24 patients ...
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Clinical and PROMIS Outcomes of Maisonneuve Fractures
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Autor/in / Beteiligte Person: | Andrews, Nicholas A. ; Agarwal, Abhinav ; Coffin, Megan ; Fellows, Kenneth J. ; James, Pate ; Rallapalle, Vyshnavi ; Harrelson, Whitt ; Shah, Ashish |
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Zeitschrift: | Foot & Ankle Orthopaedics, Jg. 7 (2022), Heft 1, S. 2473011421S0008 |
Veröffentlichung: | SAGE Publications, 2022 |
Medientyp: | academicJournal |
ISSN: | 2473-0114 |
DOI: | 10.1177/2473011421s00081 |
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