Missed Tillaux Fracture and Syndesmosis Injury in Adult: Arthroscopic Assisted Reduction and Fixation^[*]

Abstract

Tillaux fractures are fractures of the lateral margin of the distal tibia, usually reported in children between 12 and 14 years old. As intraarticular fractures, they require anatomic reduction and fixation to avoid posttraumatic complications. Since the injury mechanism is external rotation of the foot on the leg, these injuries are commonly associated with other fractures or ligamentous lesions. Currently, arthroscopy is being increasingly used to assist and improve surgical treatment of ankle fractures. The authors describe a 12-month follow-up of a rare case of a missed Tillaux fracture associated with syndesmosis injury in a 76-year-old polytrauma patient, successfully treated by arthroscopically-assisted reduction and internal fixation.

Keywords

ankle fractures - ankle injuries - arthroplasty, replacement, ankle - minimally invasive surgical procedures

^* Work developed at Serviço de Ortopedia e Traumatologia do Hospital de Braga, Braga, Portugal.

Publikationsverlauf

Eingereicht: 06. Juni 2020

Angenommen: 06. Juli 2020

Artikel online veröffentlicht:
21. Dezember 2020

• Referências

• 1 Protas JM, Kornblatt BA. Fractures of the lateral margin of the distal tibia. The Tillaux fracture. Radiology 1981; 138 (01) 55-57
• 2 Miller MD. Arthroscopically assisted reduction and fixation of an adult Tillaux fracture of the ankle. Arthroscopy 1997; 13 (01) 117-119
• 3 Kumar N, Prasad M. Tillaux fracture of the ankle in an adult: a rare injury. J Foot Ankle Surg 2014; 53 (06) 757-758
• 4 Oak NR, Sabb BJ, Kadakia AR, Irwin TA. Isolated adult Tillaux fracture: a report of two cases. J Foot Ankle Surg 2014; 53 (04) 489-492
• 5 Mishra PK, Patidar V, Singh SP. Chaput Tubercle Fracture in an Adult- A Rare Case Report. J Clin Diagn Res 2017; 11 (03) RD01-RD02
• 6 Feng SM, Sun QQ, Wang AG, Li CK. “All-Inside” Arthroscopic Treatment of Tillaux-Chaput Fractures: Clinical Experience and Outcomes Analysis. J Foot Ankle Surg 2018; 57 (01) 56-59
• 7 Hamilton GA, Doyle MD, Castellucci-Garza FM. Arthroscopic-Assisted Open Reduction Internal Fixation. Clin Podiatr Med Surg 2018; 35 (02) 199-221
• 8 Leontaritis N, Hinojosa L, Panchbhavi VK. Arthroscopically detected intra-articular lesions associated with acute ankle fractures. J Bone Joint Surg Am 2009; 91 (02) 333-339
• 9 Bonasia DE, Rossi R, Saltzman CL, Amendola A. The role of arthroscopy in the management of fractures about the ankle. J Am Acad Orthop Surg 2011; 19 (04) 226-235
• 10 Zhao J, Shu H, Li W, Liu Y, Shi B, Zheng G. Clinical features and surgical effectiveness of ankle fractures involving Tillaux–Chaput in adults. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2015; 29 (03) 288-291