Incidence of Midfoot Instability Associated With Medial Malleolus Fractures: A Retrospective Cohort Study

Ankle fractures with medial malleolus fractures have a significantly higher incidence of medial arch instability. Rotational ankle injuries, arising from supination external rotation and pronation injuries, can significantly affect medial arch stability. We advocate that surgical restoration of superficial deltoid-spring/capsular-ligamentous integrity and/or early post-operative orthotics after medial malleolar fractures may protect the first ray destabilization and preserve future foot function.

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Publication Details

Journal
Cureus
Published
2026-01-22
DOI
https://doi.org/10.7759/cureus.102100
Primary Topic
Foot and Ankle Surgery
Type
article
Field-Weighted Citation Impact
0.00

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article

Incidence of Midfoot Instability Associated With Medial Malleolus Fractures: A Retrospective Cohort Study

Natalie Marzouqa, E.R. Gil Monzó, Chandra Pasapula, Hesham Youssef et al.
Cureus
Foot and Ankle Surgery
article

Incidence of Midfoot Instability Associated With Medial Malleolus Fractures: A Retrospective Cohort Study

Natalie Marzouqa, E.R. Gil Monzó, Chandra Pasapula, Hesham Youssef, Musammad r Begum, Velayudhan b Kiliyanpilakkil, Bianca d Chua, Mohamed H Gad, Wai Wai w Mar, Zain Al Abdeen Al Zuabi
article en

Abstract

Ankle fractures with medial malleolus fractures have a significantly higher incidence of medial arch instability. Rotational ankle injuries, arising from supination external rotation and pronation injuries, can significantly affect medial arch stability. We advocate that surgical restoration of superficial deltoid-spring/capsular-ligamentous integrity and/or early post-operative orthotics after medial malleolar fractures may protect the first ray destabilization and preserve future foot function.

CureusVol. 18(1)
University College Hospital (GB), Guy's and St Thomas' NHS Foundation Trust (GB), Pomerado Hospital (US), Norfolk and Norwich University Hospitals NHS Foundation Trust (GB), Broomfield Hospital (GB), Antrim Area Hospital (GB), Queen Elizabeth Hospital King's Lynn NHS Foundation Trust (GB), Hospital Universitario Doctor Peset (ES), University College London (GB)
University of Pennsylvania
No poverty
Openalex Percentile: Top 80%
Foot and Ankle Surgery
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