![]() ![]() Due to the high rate of chondral lesions, addressing these arthroscopically may contribute to better postoperative results.Īnkle arthroscopy Cartilage lesion Maisonneuve fracture Osteochondral lesion Syndesmotic rupture Tibio-fibular instability. Medline via PubMed, Orthopaedic Trauma Association (OTA) annual meetings’ abstracts archives Web site, Embase, the Cochrane Database of Systematic Reviews, and the Cochrane Clinical Trial register were searched for the period extending from January 1970 to. Fractures of lateral,medial and posterior malleolus were treated with open reduction and internal fixation.Ruptures of deltoid ligament and anterior ligament of. In three talar and one tibial lesion additional arthroscopic bone marrow stimulation with microfracture of the subchondral bone was performed.Īnkle arthroscopy is a helpful method to guide fibular reduction and to detect and address associated cartilage injuries. The objective of the current study was to review the published clinical evidence available for the treatment of Maisonneuve fractures. Injuries of the cartilage were found in 56% of the cases and in 31% of the patients surgical intervention was required. In all cases, instability of the distal tibiofibular articulation was confirmed arthroscopically. In case of instable cartilage, it was debrided and according to the International Consensus Meeting on Cartilage Repair of the Ankle, in grade IV lesions < 10 mm or < 100 mm 2 area the subchondral bone was microfractured.Įighteen patients, 16 male and two female, with a mean age of 48.1 years, were included. ![]() Therefore, the aim of our study was to report the incidence of incidental cartilage injuries and their management in arthroscopic treatment of MFC.īetween February 2018 and February 2021 all patients presenting with MFC in our department were treated with diagnostic ankle arthroscopy and percutaneous syndesmotic screw or suture-endobutton fixation. However, the optimal treatment is still not clear and there is limited data on concomitant injuries of cartilage. Most of the Maisonneuve fracture requires surgical management due to unstable ankle mortise or the disruption of ankle syndesmosis (8) (9) (10) (11) (12) (13) (14). The Maisonneuve fracture complex (MFC) is a well-known lower leg injury.
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