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Rev Fac Cien Med Univ Nac Cordoba · Jan 2017
[Tillaux fractures: functional results after surgical treatment].
- Andres Aguilar Ezquerra, María Eugenia Monge Vazquez, Lorena Gracia Torralba, and Marina Angulo Tabernero.
- Hospital Universitario Miguel Servet, Zaragoza España.
- Rev Fac Cien Med Univ Nac Cordoba. 2017 Jan 1; 74 (1): 7-9.
IntroductionTillaux Fractures are an infrequent type of fracture that occurs in teenagers. The mechanism is an external rotation that causes stress on the anterior tibiofibular ligament, which displace the distal tibial physis fragment.Methods6 patients (5 girls and one boy), with an age between 12-14 years, who had Tillaux fractures with a displacement more than 2 mm; were treated by orthopedic reduction and fixation with a screw.ResultsAfter surgery patients underwent cast immovilization for 4 to 6 weeks; starting then progressive partial bear-weight. After a follow-up of 5-7 months, all patients have achieved complete and painless ankle mobility with radiological images of consolidation.ConclusionTreatment by orthopedic reduction and internal fixation with a screw is suitable for Tillaux fractures with a displacement of 2 mm or more.
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