Arthroscopic Assisted Fixation of Juvenile Intra-articular Epiphyseal Ankle Fractures

Jennings, Meagan M.; Lagaay, Pieter M.; Schuberth, John M.

doi:10.1053/j.jfas.2007.07.001

Cited by 47 publications

(23 citation statements)

References 20 publications

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“…By arthroscopy, direct visualization of the fragment and interpretation of associated chondral injuries is possible. Reviewing the literature we only found cases series describing this method and therefore we did not use it in our patients routinely [8, 22, 23]. …”

Section: Discussionmentioning

confidence: 99%

Displaced juvenile Tillaux fractures

Tiefenboeck

Binder

Joestl

et al. 2016

Wien Klin Wochenschr

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SummaryBackgroundApproximately 15 % of all juvenile injuries of the long bones involve the epiphyseal growth plate, and 2.9 % of these are juvenile Tillaux fractures. The Tillaux fracture is of great importance because it involves a major weight-bearing articular surface. Treatment protocols in the literature are not uniform for this kind of fracture, and numerous case reports can be found describing various treatment methods. The aim of this study was to present the clinical outcome at long-term follow-up after treatment of displaced Tillaux fractures.MethodsIn all, 168 children and adolescent patients with physeal injuries of the distal tibia were treated from 2003 to 2012. Seven patients were identified as having Tillaux fractures requiring surgical treatment and therefore were included in our study and evaluated retrospectively.ResultsSeven patients with Tillaux fractures underwent surgical reconstruction by open or closed reduction. Excellent results were achieved in 90 % of the patients, with a mean Foot and Ankle Score at the last follow-up of 98.71.ConclusionAnatomical reduction is required for every displaced epiphyseal fracture via open reduction and internal fixation, especially in cases with ≥2 mm fragment displacement. Plaster cast immobilization and non-weight-bearing mobilization for at least 4 weeks might be a good way of ensuring optimal surgical results and preventing complications.

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Section: Discussionmentioning

confidence: 99%

Displaced juvenile Tillaux fractures

Tiefenboeck

Binder

Joestl

et al. 2016

Wien Klin Wochenschr

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“…If a step-off of <2 mm cannot be achieved and maintained by closed reduction, open reduction with internal fixation should be performed. Arthroscopically assisted reduction and fixation has been described with good results [66][67][68] . We recommend postreduction CT if the surgeon is unsure of the articular reduction, as long-term outcomes seem to be improved with a more accurately reduced articular surface 48,64,65 .…”

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confidence: 99%

Ankle Fractures in Children

Blackburn

Aronsson

Rubright

et al. 2012

The Journal of Bone & Joint Surgery

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Computed tomography is useful for preoperative planning and postreduction assessment for intra-articular pediatric ankle fractures. Nondisplaced pediatric ankle fractures can be effectively managed with cast immobilization and close radiographic follow-up evaluation. Physeal ankle injuries in younger children with considerable growth remaining should be followed closely for at least one year after injury as growth arrest may result in substantial angular deformity. Open reduction and internal fixation should be strongly considered when an articular step-off of <2 mm cannot be maintained by closed means for Salter-Harris type-III and IV and transitional ankle fractures.

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“…The mean follow-up period was 14.2 (range, [9][10][11][12][13][14][15][16][17][18][19][20] weeks. All patients had excellent outcome.…”

Section: Resultsmentioning

confidence: 99%

“…Arthroscopy-assisted methods facilitate anatomic reduction and minimal soft-tissue disruption, [8][9][10] and may be augmented by intra-operative intensified imaging.…”

mentioning

confidence: 99%

Triplane Fractures of the Distal Tibia in Children

Tan

Chong

Mahadev

2013

J Orthop Surg (Hong Kong)

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purpose. To review 28 cases of paediatric triplane fractures of the distal tibia over a 7-year period in a tertiary paediatric hospital. Methods. Records of 21 boys and 7 girls aged 11 to 15 (mean, 13) years presented with triplane fractures of the left (n=14) and right (n=14) ankles were retrospectively reviewed. results. Injury mechanism included low-energy trauma (n=10) and moderate-energy trauma (n=18). Fractures were 2-part in 20 patients, 3-part in 6, and 4-part in 2. 11 patients had concomitant fibular fractures. Articular displacement was <2 mm in 17 patients and ≥2 mm in 11 patients. 17 patients were treated conservatively (cast immobilisation); 11 were treated surgically by closed reduction and percutaneous pinning (n=1), open reduction and percutaneous pinning (n=5), closed reduction and internal fixation (n=3), or open reduction and internal fixation (n=2). Transepiphyseal partially threaded cannulated screws were used for fixation. The mean period of casting was 5.8 weeks, and the mean nonweight bearing period was 6.1 weeks. The mean follow-up period was 14.2 (range, 9-20) weeks. All patients had excellent outcome. No patient had any infections, delayed or non-union. Six patients had decreased range of motion and 4 had pain 4 weeks after cast removal. conclusion. Treatment outcome of triplane fractures of the distal tibia in children is good when guidelines are closely adhered to.

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Arthroscopic Assisted Fixation of Juvenile Intra-articular Epiphyseal Ankle Fractures

Cited by 47 publications

References 20 publications

Displaced juvenile Tillaux fractures

Displaced juvenile Tillaux fractures

Ankle Fractures in Children

Triplane Fractures of the Distal Tibia in Children

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