Mayo Clinic Q and A: Untreated Maisonneuve fracture
Q : What happens when a Maisonneuve fracture involving the tearing of all of the ligaments is not surgically repaired? What are the long-term effects of not treating the injury?

A : For this kind of complex ankle and leg injury, surgery often is necessary to stabilize the ankle joint and allow for proper healing. If a Maisonneuve fracture isn’t treated, the result can be long-term ankle instability and early-onset arthritis....

http://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-untreated-maisonneuve-fracture/
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