title: Displaced juvenile Tillaux fractures : Surgical treatment and outcome.
abstract: 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Trauma Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. thomas.tiefenboeck@meduniwien.ac.at.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Tiefenboeck
authors.affiliation: Department of Trauma Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
authors.forename: Harald
authors.initials: H
authors.lastname: Binder
authors.affiliation: Department of Trauma Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
authors.forename: Julian
authors.initials: J
authors.lastname: Joestl
authors.affiliation: Department of Orthopaedics, Herz Jesu Hospital, Vienna, Austria.
authors.forename: Michael M
authors.initials: MM
authors.lastname: Tiefenboeck
authors.affiliation: Department of Trauma Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
authors.forename: Sandra
authors.initials: S
authors.lastname: Boesmueller
authors.affiliation: Department of Radiology, Medical University of Vienna, Vienna, Austria.
authors.forename: Christian
authors.initials: C
authors.lastname: Krestan
authors.affiliation: Department of Trauma Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
authors.forename: Mark
authors.initials: M
authors.lastname: Schurz
mesh_terms: D000293:Adolescent; D064386:Ankle Fractures / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery*; D003131:Combined Modality Therapy / Q000379:methods; D005260:Female; D005592:Fracture Fixation / Q000379:methods* / Q000534:rehabilitation; D017102:Fracture Healing; D017759:Fractures, Malunited / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D007103:Immobilization; D008297:Male; D015995:Prevalence; D019651:Plastic Surgery Procedures / Q000379:methods* / Q000534:rehabilitation; D020127:Recovery of Function; D012307:Risk Factors; D013978:Tibial Fractures / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery*; D016896:Treatment Outcome
keywords: Foot and ankle score; Open reduction; Operative treatment; Retrospective study; Tillaux fracture