The ankle injury may be more important than the proximal fibula fracture that draws attention.
This page explains how a maisonneuve injury is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
The ankle injury may be more important than the proximal fibula fracture that draws attention.
Always examine the entire fibula in a suspicious ankle injury.
This fracture may be treated with or without surgery, depending on the specific fracture pattern, how much the bone has shifted (displacement), and your individual situation. Your surgeon will determine the best approach for you.
Long-leg or short-leg immobilization depending on associated injury while awaiting definitive evaluation.
Non-weight bearing.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
No ankle loading; maintain toe motion.
Postoperative rehabilitation per fixation.
Urgent orthopedic evaluation.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
Work or School: Modified duty until stable healing and gait recovery.
Sports or High-Risk Activity: Return after union, syndesmotic healing, and functional testing.
Mortise widening, proximal fibula fracture with ankle pain, deltoid injury, open injury, skin threat, or neurovascular deficit.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
Long-leg or short-leg immobilization depending on associated injury while awaiting definitive evaluation.
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Per fixation.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.