La fracture de Tillaux chez l’adulte (à propos de deux cas)

Tillaux fracture in adults – Case report and review of literature

“…Feng et al in 2018 8 However, as in our case, previous studies reporting open reduction, did not report evidence of complications or infection. 2,9,10,11,6,5,4,12,3,13 Regarding X-ray assessment of articular alignment in closed reduction versus intraarticular direct surface assessment in open reduction, no evidences of poor functional mid-term outcomes have been reported.…”

“…Postoperative progressive weight bearing was allowed at 6 weeks after the procedure in most cases (71%, 22/31), and full weight bearing without orthosis was allowed between 8 and 12 weeks after the surgery, in those cases which this timing was described (19%, 6/31). In the cases treated conservatively, immobilization with a cast was the standard (100%, 3/3) for 8 weeks (33%, 1/3) 6 or for 1 week with a change to a walker orthosis for the next 5 weeks (33%, 1/3) 7 .…”

“…Conservative treatment indications seem to be clear, including those Tillaux fractures with lower than 2 mm displacement. However, it seems an atypical choice (9%, 3/34) 4,6,7 , and two of them (67%, 2/3) did not underwent diagnostic CT scan and failed to report complications. 6,7 Moreover, treatment option recommendations vary widely, with great disparity of treatment.…”

“…However, it seems an atypical choice (9%, 3/34) 4,6,7 , and two of them (67%, 2/3) did not underwent diagnostic CT scan and failed to report complications. 6,7 Moreover, treatment option recommendations vary widely, with great disparity of treatment. ranging from 1 week of cast immobilization followed by walker, to above the knee cast 6 for the first 3 weeks and then followed by a below the knee cast for the next 5 weeks.…”

“…6,7 Moreover, treatment option recommendations vary widely, with great disparity of treatment. ranging from 1 week of cast immobilization followed by walker, to above the knee cast 6 for the first 3 weeks and then followed by a below the knee cast for the next 5 weeks. 7 The lack of standard and the presence of a wide range of postoperative recommendations could be related to poor sample sizes of the previous reported cases, probably related to infrequent pathology.…”