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Related Experiment Videos

[Tillaux's fracture].

J C Hoeffel1, P Lascombes, T Poncelet

  • 1Service de radiologie, Hôpital d'Enfants, Vandoeuvre.

Journal De Radiologie
|March 1, 1989
PubMed
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Tillaux fractures, a type of distal tibia fracture in adolescents, occur at the antero-lateral epiphysis. Fracture location and treatment depend on the epiphyseal plate

Area of Science:

  • Orthopedics
  • Pediatric Orthopedics
  • Radiology

Background:

  • Tillaux fracture involves the antero-lateral distal tibia epiphysis, typically in 13-14 year olds.
  • Fracture line location is influenced by the epiphyseal plate's closure status, particularly the medial aspect.
  • Understanding physeal maturity is crucial for determining fracture characteristics.

Purpose of the Study:

  • To describe the Tillaux fracture and its relationship with epiphyseal plate maturity.
  • To outline diagnostic considerations, including imaging modalities.
  • To define criteria for non-operative treatment.

Main Methods:

  • Review of Tillaux fracture characteristics and their correlation with physeal closure.
  • Emphasis on the role of tomography in visualizing fracture lines and gaps.

Related Experiment Videos

  • Assessment of fracture gap size for treatment decisions.

    • Main Results:

    • Fracture line position varies based on medial epiphyseal plate closure.
    • Tomography is essential for accurate fracture line and gap assessment.
    • A fracture gap less than 2 mm indicates sufficient non-operative treatment with a plaster cast.

    Conclusions:

    • Tillaux fracture characteristics are directly related to the degree of distal tibial physeal closure.
    • Accurate assessment of the fracture gap using tomography guides treatment.
    • Non-operative management is effective for Tillaux fractures with minimal displacement (<2 mm).