Tillaux Fracture in an Adolescent Patient: A Case Report

Tillaux fractures are infrequent adolescent fractures that are rarely covered in the clinical literature. They are intra-articular fractures that are more frequent in children than adults, more commonly seen in women. The treatment is operative, and the mini-open technique is a technique that we should consider using. This article presents the case of a 14-year-old girl who suffered a fall from height with twisting trauma to her left ankle. On physical examination, the affected limb showed pain and functional limitation, with palpable distal pulses, adequate capillary refill, and no motor or sensory deficits. An X-ray was made, and a Tillaux fracture was found. She was immediately immobilized with a splint, and once the CT images were obtained, surgical management was planned. An operative approach was selected, consisting of closed reduction and percutaneous fixation with a single cannulated screw. It is essential for orthopedic surgeons to accurately recognize this type of fracture to ensure appropriate diagnosis and optimal treatment outcomes. The article highlights the importance of surgical intervention in these rare fractures in a specific age range and demonstrates the favorable outcomes of surgical treatment using a percutaneous technique. It also emphasizes that early presentation to the hospital plays a crucial role in minimizing the risk of complications.