Tibia/Fibula, malleolar segment, suprasyndesmotic lesion, proximal fibular lesion (Maisonneuve)	1 % of segment

Without shortening, without Volkmann +Q

With shortening, without Volkmann +Q

Medial lesion and a Volkmann +Q

	These are proximal fractures of the fibula, without shortening and without a Volkmann lesion in the .1 subgroup, with shortening and without a Volkmann lesion in the .2 subgroup, and associated with a fracture of the medial malleolus and a Volkmann fracture in the .3 subgroup.				Ref. Manual of Internal Fixation: 595 - 611. Surgeon. MS, RO, JC.
	The diagnosis is essential in this group since it can be missed unless the proximal fibula is examined. The diagnosis of the proximal fibular fracture carries with it the certainty of a syndesmotic and interosseous membrane lesions and guides the correct treatment of the whole lesion. Usually, the fibular fracture is not internally fixed, both because of the risk of injury to the peroneal nerve and		because it rarely is shortened enough to influence the syndesmosis. The tibio-fibular screw, the repair of the syndesmotic lesion and the reconstruction of the associated medial lesions, ligamentous or bony, are all essential. In the rare C3.3 cases with a dislocation of the fibular head, the ligaments will have to be sutured and the repair protected with a proximal tibio-fibular screw.

		preoperative postoperative

		preoperative postoperative

	Loading				Ref. Manual of Internal Fixation: 595 - 611. Surgeon. MS, RO, JC.

		preoperative postoperative + 1 months + 1 months     + 5 months + 5 months