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Updated: Jul 23, 2026

Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum (TOLF) Using Ultrasonic and Conventional Osteotomes
Published on: April 21, 2023
[Tillaux fractures: functional results after surgical treatment]
Andres Aguilar Ezquerra1, María Eugenia Monge Vazquez2, Lorena Gracia Torralba3
1Hospital Universitario Miguel Servet, Zaragoza España.
Introduction:
Tillaux 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.
Methods:
6 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.
Results:
After 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.
Conclusion:
Treatment by orthopedic reduction and internal fixation with a screw is suitable for Tillaux fractures with a displacement of 2 mm or more.

