Introduction. Maisonneuve fracture represents approximately 5% of all surgically treated ankle fractures. Because these fractures are usually closed, we present the case of a Maisonneuve open fracture owing to its rarity. Case report. A 63-year-old man presented to his emergency department after a right leg trauma. Physical examination revealed a skin solution of continuity above the ankle joint, with a medial tibial malleolus exposure. The radiography showed an opening of the tibiofibular mortise and a spiral fracture of the proximal third of the fibula. Fixation with two cannulated screws was performed. After 12 months of follow up, the patient has an average score of 86.8 points on the AOFAS scale. Conclusion. In the face of an open ankle dislocation, a Maisonneuve open fracture should be suspected in spite of its infrequency, being the osteosynthesis an effective therapeutic option in this type of fractures.

Introduction. Maisonneuve fracture represents approximately 5% of all surgically treated ankle fractures. Because these fractures are usually closed, we present the case of a Maisonneuve open fracture owing to its rarity. Case report. A 63-year-old man presented to his emergency department after a right leg trauma. Physical examination revealed a skin solution of continuity above the ankle joint, with a medial tibial malleolus exposure. The radiography showed an opening of the tibiofibular mortise and a spiral fracture of the proximal third of the fibula. Fixation with two cannulated screws was performed. After 12 months of follow up, the patient has an average score of 86.8 points on the AOFAS scale. Conclusion. In the face of an open ankle dislocation, a Maisonneuve open fracture should be suspected in spite of its infrequency, being the osteosynthesis an effective therapeutic option in this type of fractures.