Treatment for displaced Tillaux fractures in adolescent age group

Al-Ashhab, Mohamed Ebrahim Ali; Atef, Ashraf

doi:10.1016/j.fas.2019.04.001

Cited by 14 publications

(13 citation statements)

References 16 publications

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“…We reported on case series of patients sustaining Tillaux fracture associated with MMF. This study showed that the mean AOFAS score of this complex fracture was 88.7, being comparable to the results reported in other series sustaining isolated fractures [5,10].…”

Section: Discussionsupporting

confidence: 89%

“…This may be a dilemma for pediatric ankle fractures due to open physis. Although Crawford [19] noted that Tillaux fracture could be reduced 5 weeks later, reduction for physeal fractures was recommended generally not to be performed after ve to seven days to minimize the PPC [3,10]. In our series, surgery were underwent in ve cases with three to seven days between the injury and operation.…”

Section: Discussionmentioning

confidence: 89%

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Concurrent ipsilateral Tillaux fracture and medial malleolar fracture in adolescence: management and outcome

Yuan

Guo

Wang

et al. 2020

Preprint

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Background The concurrent ipsilateral Tillaux fracture with medial malleolar fracture in adolescence commonly suffer from high-energy injury, making treatment more difficult. The aim of this study was to discuss the mechanism on injury, diagnosis and treatment of this complex fracture pattern. Methods The charts and radiographs of six patients were reviewed. The functional was assessed by the American Orthopedic Foot and Ankle Society ankle-hindfoot scores. Results The mean age at operation was 12.8 years. The mean interval from injury to operation was 7.7 days. Five Tillaux fractures and all medial malleolar fractures were shown on AP plain radiographs. One Tillaux fracture and two cases with avulsion of posterolateral tibial aspect were confirmed in axial computerized tomography. Talar subluxation laterally with medial space widening in three, and syndesmotic disruption in one. There were five patients sustaining ipsilateral distal fibular fractures. All fractures, except nonunion in two medial malleolar fractures and in one Tillaux fracture, healed within 6–8 weeks. There was one case of osteoarthritis of ankle joint. The average AOFAS score was 88.7. Conclusions Computerized tomography is helpful in identifying the fracture pattern. Anatomic reduction and internal fixation of Tillaux and medial malleolar fracture was recommended to restore the articular surface congruity and ankle stability.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 89%

Concurrent ipsilateral Tillaux fracture and medial malleolar fracture in adolescence: management and outcome

Yuan

Guo

Wang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In our series, the initial displacement for Tillaux fracture was more greater(2-9.4mm) than 2mm due to the high-energy force, and all cases exception one were performed by open reduction and K-wires xation. The result was comparable with the xation of screws [15,16].…”

Section: Discussionsupporting

confidence: 77%

“…However, This may be a dilemma for pediatric ankle fractures due to the open physis. Although Crawford [15] noted that Tillaux fracture could be reduced 5 weeks later, reduction for physeal fractures was recommended generally not to be performed after ve to seven days to minimize the PPC [3,16]. In our cases, surgery in ve cases was underwent with three to seven days between the injury and operation.…”

Section: Discussionmentioning

confidence: 86%

Concurrent ipsilateral Tillaux fracture and medial malleolar fracture in adolescents: management and outcome

Yuan

Guo

Wang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The concurrent ipsilateral Tillaux fracture with medial malleolar fracture in adolescents commonly suffer from high-energy injury, making treatment more difficult. The aim of this study was to discuss the mechanism on injury, diagnosis and treatment of this complex fracture pattern. Methods: The charts and radiographs of six patients were reviewed. The function was assessed by the American Orthopedic Foot and Ankle Society ankle-hindfoot scores. Results: The mean age at operation was 12.8 years. The mean interval from injury to operation was 7.7 days. Five Tillaux fractures and all medial malleolar fractures were shown on AP plain radiographs. One Tillaux fracture and two cases with avulsion of posterolateral tibial aspect were confirmed in axial computerized tomography. Talar subluxation laterally with medial space widening in three, and syndesmotic disruption in one. There were five patients sustaining ipsilateral distal fibular fractures. All fractures, except nonunion in two medial malleolar fractures and in one Tillaux fracture, healed within 6-8 weeks. There was one case of osteoarthritis of ankle joint. The average AOFAS score was 88.7. Conclusions: Computerized tomography is helpful in identifying the fracture pattern. Anatomic reduction and internal fixation of Tillaux and medial malleolar fracture was recommended to restore the articular surface congruity and ankle stability.

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“…In our experience, anatomical reduction for Tillaux fracture and medial malleolar fracture was restored, and the fracture was fixed by K-wires. The result was comparable with the fixation of screws [7,11]. There were two nonunion in medial malleolar fracture cases because of no internal fixation.…”

Section: Discussionmentioning

confidence: 51%

Concurrent ipsilateral Tillaux fracture and medial malleolar fracture in adolescents: management and outcome

et al. 2020

View full text Add to dashboard Cite

Background The concurrent ipsilateral Tillaux fracture with medial malleolar fracture in adolescents commonly suffer from high-energy injury, making treatment more difficult. The aim of this study was to discuss the mechanism on injury, diagnosis, and treatment of this complex fracture pattern. Methods The charts and radiographs of six patients were reviewed. The function was assessed by the American Orthopedic Foot and Ankle Society ankle-hindfoot scores. Results The mean age at operation was 12.8 years. The mean interval from injury to operation was 7.7 days. Five Tillaux fractures and all medial malleolar fractures were shown on AP plain radiographs. One Tillaux fracture and two cases with avulsion of posterolateral tibial aspect were confirmed in axial computerized tomography. There was talar subluxation laterally with medial space widening in three and syndesmotic disruption in one. There were five patients sustaining ipsilateral distal fibular fractures. All fractures, except nonunion in two medial malleolar fractures and in one Tillaux fracture, healed within 6–8 weeks. There was one case of osteoarthritis of ankle joint. The average AOFAS score was 88.7. Conclusions Computerized tomography is helpful in identifying the fracture pattern. Anatomic reduction and internal fixation of Tillaux and medial malleolar fracture was recommended to restore the articular surface congruity and ankle stability.

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Treatment for displaced Tillaux fractures in adolescent age group

Cited by 14 publications

References 16 publications

Concurrent ipsilateral Tillaux fracture and medial malleolar fracture in adolescence: management and outcome

Concurrent ipsilateral Tillaux fracture and medial malleolar fracture in adolescence: management and outcome

Concurrent ipsilateral Tillaux fracture and medial malleolar fracture in adolescents: management and outcome

Concurrent ipsilateral Tillaux fracture and medial malleolar fracture in adolescents: management and outcome

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