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Displaced juvenile Tillaux fractures: Surgical treatment and outcome
BACKGROUND: Approximately 15 % of all juvenile injuries of the long bones involve the epiphyseal growth plate, and 2.9 % of these are juvenile Tillaux fractures. The Tillaux fracture is of great importance because it involves a major weight-bearing articular surface. Treatment protocols in the liter...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Vienna
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346147/ https://www.ncbi.nlm.nih.gov/pubmed/27534865 http://dx.doi.org/10.1007/s00508-016-1059-9 |
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author | Tiefenboeck, Thomas M. Binder, Harald Joestl, Julian Tiefenboeck, Michael M. Boesmueller, Sandra Krestan, Christian Schurz, Mark |
author_facet | Tiefenboeck, Thomas M. Binder, Harald Joestl, Julian Tiefenboeck, Michael M. Boesmueller, Sandra Krestan, Christian Schurz, Mark |
author_sort | Tiefenboeck, Thomas M. |
collection | PubMed |
description | BACKGROUND: Approximately 15 % of all juvenile injuries of the long bones involve the epiphyseal growth plate, and 2.9 % of these are juvenile Tillaux fractures. The Tillaux fracture is of great importance because it involves a major weight-bearing articular surface. Treatment protocols in the literature are not uniform for this kind of fracture, and numerous case reports can be found describing various treatment methods. The aim of this study was to present the clinical outcome at long-term follow-up after treatment of displaced Tillaux fractures. METHODS: In all, 168 children and adolescent patients with physeal injuries of the distal tibia were treated from 2003 to 2012. Seven patients were identified as having Tillaux fractures requiring surgical treatment and therefore were included in our study and evaluated retrospectively. RESULTS: Seven patients with Tillaux fractures underwent surgical reconstruction by open or closed reduction. Excellent results were achieved in 90 % of the patients, with a mean Foot and Ankle Score at the last follow-up of 98.71. CONCLUSION: Anatomical reduction is required for every displaced epiphyseal fracture via open reduction and internal fixation, especially in cases with ≥2 mm fragment displacement. Plaster cast immobilization and non-weight-bearing mobilization for at least 4 weeks might be a good way of ensuring optimal surgical results and preventing complications. |
format | Online Article Text |
id | pubmed-5346147 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer Vienna |
record_format | MEDLINE/PubMed |
spelling | pubmed-53461472017-03-22 Displaced juvenile Tillaux fractures: Surgical treatment and outcome Tiefenboeck, Thomas M. Binder, Harald Joestl, Julian Tiefenboeck, Michael M. Boesmueller, Sandra Krestan, Christian Schurz, Mark Wien Klin Wochenschr Original Article BACKGROUND: Approximately 15 % of all juvenile injuries of the long bones involve the epiphyseal growth plate, and 2.9 % of these are juvenile Tillaux fractures. The Tillaux fracture is of great importance because it involves a major weight-bearing articular surface. Treatment protocols in the literature are not uniform for this kind of fracture, and numerous case reports can be found describing various treatment methods. The aim of this study was to present the clinical outcome at long-term follow-up after treatment of displaced Tillaux fractures. METHODS: In all, 168 children and adolescent patients with physeal injuries of the distal tibia were treated from 2003 to 2012. Seven patients were identified as having Tillaux fractures requiring surgical treatment and therefore were included in our study and evaluated retrospectively. RESULTS: Seven patients with Tillaux fractures underwent surgical reconstruction by open or closed reduction. Excellent results were achieved in 90 % of the patients, with a mean Foot and Ankle Score at the last follow-up of 98.71. CONCLUSION: Anatomical reduction is required for every displaced epiphyseal fracture via open reduction and internal fixation, especially in cases with ≥2 mm fragment displacement. Plaster cast immobilization and non-weight-bearing mobilization for at least 4 weeks might be a good way of ensuring optimal surgical results and preventing complications. Springer Vienna 2016-08-17 2017 /pmc/articles/PMC5346147/ /pubmed/27534865 http://dx.doi.org/10.1007/s00508-016-1059-9 Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Tiefenboeck, Thomas M. Binder, Harald Joestl, Julian Tiefenboeck, Michael M. Boesmueller, Sandra Krestan, Christian Schurz, Mark Displaced juvenile Tillaux fractures: Surgical treatment and outcome |
title | Displaced juvenile Tillaux fractures: Surgical treatment and outcome |
title_full | Displaced juvenile Tillaux fractures: Surgical treatment and outcome |
title_fullStr | Displaced juvenile Tillaux fractures: Surgical treatment and outcome |
title_full_unstemmed | Displaced juvenile Tillaux fractures: Surgical treatment and outcome |
title_short | Displaced juvenile Tillaux fractures: Surgical treatment and outcome |
title_sort | displaced juvenile tillaux fractures: surgical treatment and outcome |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346147/ https://www.ncbi.nlm.nih.gov/pubmed/27534865 http://dx.doi.org/10.1007/s00508-016-1059-9 |
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