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Maisonneuve Fracture Orthobullets - Ankle Fractures Trauma Orthobullets / The maisonneuve fracture is a spiral fracture of the proximal third of the fibula associated with a tear of the distal tibiofibular syndesmosis and the interosseous membrane. . Professional network for orthopaedic surgeons designed to improve orthopaedic education and collaboration. The maisonneuve fracture is a spiral fracture of the proximal third of the fibula associated with a tear of the distal tibiofibular syndesmosis and the interosseous membrane. A pilon fracture, also called a plafond fracture, is a fracture of the distal part of the tibia, involving its articular surface at the ankle joint. Nine patients sustained a maisonneuve fracture of the fibula (mff), which is a proximal fibula fracture associated with an ankle fracture or deltoid ligament tear. Ankle fractures refer to fractures of the distal tibia, distal fibula, talus, and calcaneus. The maisonneuve fracture was named after a