Distal Tibial Epiphyseal Fracture (Tillaux) and Capsular Interposition

Poyanlı, Oğuz; Unay, Koray; Akan, Kaya; Özkan, Korhan; Uğutmen, Ender

doi:10.7547/0990435

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…The integrity of the anterior tibiofibular ligament is important for stabilization of the ankle. 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).…”

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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“…Reduction is usually achieved with internal rotation. For fractures with >2 mm of residual displacement measured by CT scan following an attempted closed reduction, anterior capsular interposition should be considered 69 . Open reduction and removal of the capsule may be necessary, and a single screw parallel to the physis is usually sufficient for fixation (Fig.…”

Section: Juvenile Tillaux Fracturementioning

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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“…However, there was no consensus between the individual cases that the complementary radio-diagnostic examination was most appropriate. The critical point was that an early diagnosis played a signifi cant role in a successful treatment and recovery (8). Conservative treatment consisted in the mentioned cases of fi xation for six weeks, by long leg cast with the internally rotated foot (13) without allowed load of the injured limb.…”

Section: Resultsmentioning

confidence: 99%

Isolated „Tillaux“ fracture in adulthood: rarity where the key of success is not to miss it

Gasparova¹,

Falougy²,

Kubikova³

et al. 2020

BLL

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BACKGROUND: Fracture of the lateral border of the distal tibia is often referred as Tillaux fracture. It is an avulsion fracture due to the tension of the anteroinferior portion of the anterior tibiofi bular ligament (1). This type of fracture is scarce in adulthood and can be easily overlooked. METHODS: From 2006 to the present day, 7 case reports describing the Tillaux fracture were found in the PubMed and Web of Science database, to which one case from our set of patients was added. Our goal was to focus on the diagnostic and a selected treatment described in each published case. RESULTS: We found no gender difference. The injury mechanism was mostly an external rotation. Treatment and diagnosis were, in all cases differentiated at specifi c points. Fixation and load reduction were indicated at least for six weeks in all of the patients. After three months, in almost all cases, a return to full function was achieved. CONCLUSION: Our assessments are not statistically signifi cant, but our goal was to point out the existence of such a rare type of fracture. At the same time, based on previous publications, we developed an algorithm of diagnosis and treatment to facilitate the management of this type of fracture

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Distal Tibial Epiphyseal Fracture (Tillaux) and Capsular Interposition

Cited by 6 publications

References 14 publications

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

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

Ankle Fractures in Children

Isolated „Tillaux“ fracture in adulthood: rarity where the key of success is not to miss it

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