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

Abstract

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

The Outcomes of Mini-Plate Fixation for Unstable Wagstaffe Tubercle Fracture, an Indirect Syndesmosis Injury in Rotational Ankle Fracture

“…Gasparova et al suggested that screw fixation is suitable for single-fragment fractures, while plate fixation is more effective for fractures with multiple fragments [ 29 ]. The use of screw fixation for AITFL avulsion fractures has been reported previously.…”

Spiral tibiofibular fractures complicated by ipsilateral Tillaux and posterior malleolus fractures in adults—A rare injury patterns: case report

“…If the Tillaux fracture block shifted more than 2 mm in combination with posterior malleolus and tibia-bula fractures, the Tillaux fracture block should be xed preferentially during the operation to prevent a wider range of displacement of the Tillaux bone block during the operation to maintain the stability of the ankle joint [12]. At present, open reduction and screw xation of the Tillaux fracture block are the most commonly used surgical methods, which have a clear intraoperative vision, simple operation, easy restoration of anatomical reduction, and postoperative ankle stability [13]. Arthroscopic reduction and internal xation of Tillaux fracture can achieve accurate reduction, reduce the invasiveness of the surgical approach, and do not damage the blood supply to the periosteum and fracture site, which is conducive to postoperative recovery [14].…”

Fratura isolada de Tillaux em adulto – Revisão da literatura com base em um relato de caso raro

“…4 Ankle syndesmosis is formed by the distal tibia and fibula, and it is stabilized by four ligaments: the anterior, transverse, and posterior tibiofibular ligaments, as well as the interosseous membrane. 2 canulado duplo. Após a reabilitação adequada, alcançou-se um excelente desfecho funcional e radiológico.…”