Isolated Tillaux Fracture in a Skeletally-Mature Patient: A Rare Presentation.

Autor:	Joshi GR; Orthopedics, Bharati Vidyapeeth Medical College, Pune, IND., Tawde A; Orthopedics and Traumatology, KIMS (Krishna Institute of Medical Sciences) Sunshine Hospital, Hyderabad, IND., Seth A; Orthopedics and Traumatology, KIMS (Krishna Institute of Medical Sciences) Sunshine Hospital, Hyderabad, IND., Seth I; Obstetrics and Gynecology, Amrita Hospital, Faridabad, IND., Aiyappan RK; General Surgery, Amrita Hospital, Faridabad, IND., Singh S; Obstetrics and Gynecology, Government Medical College and Hospital, Chandigarh, IND., Naqvi M; Orthopedics, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, IND., Shrivastava A; Orthopedics and Traumatology, Bharati Vidyapeeth Medical College, Pune, IND., Agrawal GK; Orthopedics, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, IND., Manohar JSSN; Orthopedics and Traumatology, KIMS (Krishna Institute of Medical Sciences) Sunshine Hospital, Hyderabad, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Mar 30; Vol. 15 (3), pp. e36910. Date of Electronic Publication: 2023 Mar 30 (Print Publication: 2023).
DOI:	10.7759/cureus.36910
Abstrakt:	Isolated Tillaux fractures are uncommon injuries that occur due to external rotational forces acting on the ankle joint. They are more commonly seen in adolescents due to the presence of open epiphyses. In adults, isolated Tillaux fractures present as plafond fractures well described with the AO (Arbeitsgemeinschaft für Osteosynthesefragen) Classification as well as Types 1, 2, and 3 according to the degree of articular comminution present. They occur rarely and can be easily missed or misdiagnosed as other ankle injuries. A thorough clinical examination, combined with imaging studies such as X-rays and CT scans, can aid in accurate diagnosis and treatment planning. Management typically involves open reduction and internal fixation, followed by a short period of immobilization and early mobilization with non-weight bearing. We present a case report of a 27-year-old female who presented with an isolated Tillaux fracture of the ankle following a road traffic accident. This type of fracture is typically seen in teenagers and young adults due to the incomplete closure of the growth plate, which makes it more susceptible to injury. The patient underwent open reduction and internal fixation with a contoured three-hole 3.5 mm titanium T-plate, followed by immobilization in a plaster splint for one week. Early mobilization was encouraged with strict non-weight bearing for 8-10 weeks. Follow-up at 12 weeks revealed complete union at the fracture site, with the patient being asymptomatic except for minimal pain and mild restriction in dorsiflexion. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Joshi et al.)
Databáze:	MEDLINE
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