Delayed diagnosis and treatment of Tillaux fracture--a case report

Zatti, Giovanni; D’Angelo, Fabio; Giughello, Alberto

doi:10.1080/000164700317411997

Cited by 7 publications

(2 citation statements)

References 8 publications

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“…An early diagnosis plays a significant role in successful treatment and recovery (12). The fragments of Tillaux-Chaput fracture are smaller and result in slight swelling, deformity, and obstruction of the fibula, with the result that these fractures tend to be misdiagnosed as a simple ankle sprain (13)(14)(15). For suspected Tillaux-Chaput fractures, CT will be more accurate than plain radiography for determining the shape of the fracture fragments, amount of displacement, and condition of the articular surface (16,17).…”

Section: Discussionmentioning

confidence: 99%

“All-Inside” Arthroscopic Treatment of Tillaux-Chaput Fractures: Clinical Experience and Outcomes Analysis

Feng

Sun

Wang

et al. 2018

The Journal of Foot and Ankle Surgery

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We investigated all-inside ankle arthroscopy for Tillaux-Chaput fractures. We retrospectively evaluated 19 patients (12 males [63.2%] and 7 [36.8%] females; 11 right [57.9%] and 8 left [42.1%] ankles) treated from May 2013 to January 2016. Their mean age was 28.1 (range 10 to 55) years. Sixteen (84.2%) had single Tillaux-Chaput fractures and 3 (15.8%) had combined proximal fibular fractures; 17 (89.5%) were diagnosed radiographically and 2 (10.5%) by computed tomography. Anterolateral and anteromedial ankle arthroscopy was used for closed reduction and internal fixation with 1 or 2 Herbert screws. Joint function was evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale. All 19 patients healed by first intention without nerve, vessel, or tendon injuries. The follow-up was 19.0 (range 12 to 25) months; fracture union was achieved by 23.5 (range 12 to 36) weeks. At the last follow-up, the 19 patients had no restrictions in ankle function and range of motion, with no ankle or walking pain. The AOFAS score changed from 52.8 to 91.7 points, with an excellent/good rate of 100%. These results suggest that anterolateral and anteromedial all-inside ankle arthroscopy is a precise and effective method for closed reduction and internal fixation of Tillaux-Chaput fractures.

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Section: Discussionmentioning

confidence: 99%

“All-Inside” Arthroscopic Treatment of Tillaux-Chaput Fractures: Clinical Experience and Outcomes Analysis

Feng

Sun

Wang

et al. 2018

The Journal of Foot and Ankle Surgery

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“…Le traitement est conditionné par le déplacement fracturaire, la réduction chirurgicale s'impose si le déplacement dépasse 2 mm, avec ostéosynthèse pour rétablir la congruence articulaire [4,5]. L'ostéosynthèse percutanée avec réduction anatomique est possible [6].…”

Section: Observationunclassified

Fracture du Tubercule Tillaux chez un adulte de 40 ans

et al. 2006

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La fracture isolée du tubercule de Tillaux est très rare, réalisant une avulsion du ligament tibio-fibulaire antérieur à l'origine d'une instabilité tibio-fibulaire infé-rieure. La fracture de Tillaux de l'enfant lui est assimilée et représente un traumatisme du cartilage de conjugaison stade 3. Nous rapportons une nouvelle observation chez un patient de 40 ans traité chirurgicalement avec une bonne évolution. Mots clés : Cheville -Fracture -Tubercule de TillauxTillaux Fracture in a forty-year old adult Abstract: The Tillaux fracture is very rare in child. Moreover, it is exceptional at the adult age. It occurs with an avulsion of the tibiofibular anterior ligament resulting in a tibiofibular inferior instability. The Tillaux fracture in child is treated as equivalent and consists in a lesion of the epiphyseal cartilage stage 3. The surgical treatment is essential in case of larger displacements. We report a Tillaux fracture of a forty-year old patient, which was fixed surgically, with good evolution.

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