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Displaced juvenile Tillaux fractures : Surgical treatment and outcome.
Tiefenboeck, Thomas M; Binder, Harald; Joestl, Julian; Tiefenboeck, Michael M; Boesmueller, Sandra; Krestan, Christian; Schurz, Mark.
Afiliación
  • Tiefenboeck TM; Department of Trauma Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. thomas.tiefenboeck@meduniwien.ac.at.
  • Binder H; Department of Trauma Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
  • Joestl J; Department of Trauma Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
  • Tiefenboeck MM; Department of Orthopaedics, Herz Jesu Hospital, Vienna, Austria.
  • Boesmueller S; Department of Trauma Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
  • Krestan C; Department of Radiology, Medical University of Vienna, Vienna, Austria.
  • Schurz M; Department of Trauma Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Wien Klin Wochenschr ; 129(5-6): 169-175, 2017 Mar.
Article en En | MEDLINE | ID: mdl-27534865
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de la Tibia / Fracturas Mal Unidas / Procedimientos de Cirugía Plástica / Fracturas de Tobillo / Fijación de Fractura Tipo de estudio: Diagnostic_studies / Etiology_studies / Guideline / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Male Idioma: En Revista: Wien Klin Wochenschr Año: 2017 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Austria
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de la Tibia / Fracturas Mal Unidas / Procedimientos de Cirugía Plástica / Fracturas de Tobillo / Fijación de Fractura Tipo de estudio: Diagnostic_studies / Etiology_studies / Guideline / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Male Idioma: En Revista: Wien Klin Wochenschr Año: 2017 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Austria