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Arthroscopic assisted reduction and fixation of a juvenile Tillaux fracture

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

We report a case of Tillaux fracture of the distal tibia in a 14-year-old patient. Reduction and fixation of the fracture was achieved arthroscopically through the anterolateral portal. The patient was able to participate in competitive athletic activities 3.5 months after surgery with an AOFAS score of 100. Arthroscopy is an expedient tool in the management of intra-articular fractures of the ankle providing anatomical reduction under direct visualization with minimum intervention.

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References

  1. Browner BD, Mast J, Mendes M (1992) Principles of internal fixation. In: Browner BD, Jupiter JB, Levine AM, Trafton PG (eds) Skeletal trauma. WB Saunders, Philadelphia, pp 243–268

    Google Scholar 

  2. Dailiana ZH, Malizos KN, Zacharis K, et al (1999) Distal tibial epiphyseal fractures in adolescents. Am J Orthop 28:309–312

    PubMed  CAS  Google Scholar 

  3. Gavlik JM, Rammelt S, Zwipp H (2002) Percutaneous, arthroscopically assisted osteosynthesis of calcaneus fractures. Arch Orthop Trauma Surg 122:424–428

    PubMed  Google Scholar 

  4. Goldberg VM, Aadalen R (1978) Distal tibial epiphyseal injuries: the role of athletics in fifty-three cases. Am J Sports Med 6:263–268

    PubMed  CAS  Google Scholar 

  5. Herman MJ, MacEwen GD (2003) Physeal fractures of the distal tibia and fibula. Current Orthopaedics 17:56–62

    Article  Google Scholar 

  6. Imade S, Takao M, Nishi H, Uchio Y (2004) Arthroscopy-assisted reduction and percutaneous fixation for triplane fracture of the distal tibia. Arthroscopy 20:123–128

    Article  Google Scholar 

  7. Kralinger F, Lutz M, Wambacher M, et al (2003) Arthroscopically assisted reconstruction and percutaneous screw fixation of a Pilon tibial fracture. Arthroscopy 19:E45

    Article  PubMed  Google Scholar 

  8. Leetun D, Ireland M (2002) Arthroscopically assisted reduction and fixation of a juvenile Tillaux fracture. Arthroscopy 18:427–429

    Article  PubMed  Google Scholar 

  9. Miller MD (1997) Arthroscopically assisted reduction and fixation of an adult Tillaux fracture of the ankle. Arthroscopy 13:117–119

    Article  PubMed  CAS  Google Scholar 

  10. Ono A, Nishikawa S, Nagao A, et al (2004) Arthroscopically assisted treatment of ankle fractures: arthroscopic findings and surgical outcomes. Arthroscopy 20:627–631

    Article  PubMed  Google Scholar 

  11. Pias LS, Giegerich CR (1983) Fractures of the distal tibial epiphysis in adolescence. J Bone Joint Surg Am 64:438–444

    Google Scholar 

  12. Rapariz JM, Ocete G, Gonzalez Herranz P, et al (1996) Distal tibial triplane fractures: Long-term follow-up. J Pediatr Orthop 16:113–118

    PubMed  CAS  Google Scholar 

  13. Rockwood CA, Wilkins KE, King RE (eds) (1996) Fractures in children, 3rd edn, vol 3. Lippincott Wiliams &Wilkins, Philadelphia, pp 1341–1377

  14. Schlesinger I, Wedge JH (1993) Percutaneous reduction and fixation of displaced juvenile Tillaux fractures: a new surgical technique. J Pediatr Orthop 13:389–391

    PubMed  CAS  Google Scholar 

  15. Subairy A, Subramanian K, Geary NP (2004) Arthroscopically assisted internal fixation of a talus body fracture. Injury 35:86–89

    Article  PubMed  CAS  Google Scholar 

  16. Tillaux P (1892) Traite d’anatomie topographique. 6th edn. Asselin et Houseau, Paris, France

    Google Scholar 

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Panagopoulos, A., van Niekerk, L. Arthroscopic assisted reduction and fixation of a juvenile Tillaux fracture . Knee Surg Sports Traumatol Arthrosc 15, 415–417 (2007). https://doi.org/10.1007/s00167-006-0152-4

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  • DOI: https://doi.org/10.1007/s00167-006-0152-4

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