Thaunat Mathieu, Billot Nicolas, Bauer Thomas, Hardy Philippe
Orthopaedic Department, West Paris University, Ambroise Pare Hospital, 9 av Charles de Gaulle, 92100, Boulogne Billancourt, France.
Knee Surg Sports Traumatol Arthrosc. 2007 Mar;15(3):286-8. doi: 10.1007/s00167-006-0234-3. Epub 2006 Dec 6.
Tillaux fractures are relatively uncommon fractures of the anterolateral tibial epiphysis that are observed in adolescents during the 18-month period when the distal tibial physis has begun to fuse centrally. The case of a 16-year-old boy with a juvenile Tillaux fracture treated successfully by reduction and percutaneous fixation under arthroscopic control is presented. The procedure is technically feasible, allows accurate reconstruction of the weight bearing surface of the joint and secure internal fixation of the fracture. The authors describe the principles of the procedure and discuss its advantages compared to open surgery.
蒂洛克斯骨折是胫骨前外侧骨骺相对少见的骨折，发生于青少年在胫骨远端骨骺开始向中央融合的18个月期间。本文报告了1例16岁男孩的青少年蒂洛克斯骨折病例，通过关节镜控制下复位及经皮固定成功治疗。该手术在技术上是可行的，能够准确重建关节负重面并确保骨折的牢固内固定。作者描述了该手术的原则，并讨论了与开放手术相比其优点。
