The Juvenile Fracture of Tillaux

Stefanich, Raymond J.; Lozman, Jeffrey

doi:10.1097/00003086-198609000-00032

Cited by 41 publications

(18 citation statements)

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“…Paul Jules Tillaux first described the avulsion fracture of the distal tibial physis in 1892 [ 1 ]. Approximately 15 % of all juvenile injuries of the long bones involve the epiphyseal growth plate [ 2 ], fractures of the distal tibial epiphysis account for 11–20 % to these injuries [ 3 ], and 2.9 % of these are juvenile Tillaux fractures [ 4 ]. Triplane and Tillaux fractures occur after supination external rotation and compression stress with unpredictable multiplanar fracture patterns [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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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: Introductionmentioning

confidence: 99%

“…The treatment procedures of this fracture are based on the displacement. Nondisplaced or minimally displaced (<2 mm) fractures can be treated by immobilization with casts, whereas most of the authors conclude that for a displacement of over 2 mm, closed or open reduction is necessary to restore articular congruity [ 3 , 11 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Displaced juvenile Tillaux fractures

Tiefenboeck

Binder

Joestl

et al. 2016

Wien Klin Wochenschr

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“…During growth, the growth-cartilage welding of the distal end of the tibia progresses from the central part to the medial part and finally to the lateral part. Due to the weakness of the growth plate in relation to the ligaments, The Tillaux fractures are more frequent than the ligament ruptures of the anterior tibiofibular ligament in children [7,8,9]. The reported case represents a typical example of the rare lesion association, which includes two pathological entities common in pediatric traumato-orthopedics represented by a tillaux fracture [8] and a bimalleolar fracture in adults, associated with tendon interposition as a result of anterior dislocation of posterior tibialis tendon.…”

Section: Discussionmentioning

confidence: 93%

Ankle fracture associated with a tillaux fracture in adults - A case report

Boussakri

Elidrissi

Elibrahimi

et al. 2017

IJMS

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We report a particular case of a rare lesion association of ankle fracture occurring after an open trauma of the right ankle, and which associates a bimalleolar fracture, a Tillaux fracture and an interposition of the posterior tibial tendon in syndesmosis. We treated it surgically with a good clinical and radiological evolution. The objective of this study is to draw attention to this clinical and radiological variety.

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“…In displacements exceeding 2 mm with a rotation of the fragment, open reduction and internal fixation have been suggested to obtain articular congruence (Stefanich andLozman 1986, Mariani andPerrone 1998). Schlesinger and Wedge (1993) described percutaneous fixation of the displaced fragment.…”

Section: Discussionmentioning

confidence: 99%