Simon W H, Floros R, Schoenhaus H, Jay R M
J Am Podiatr Med Assoc. 1989 Jun;79(6):295-9. doi: 10.7547/87507315-79-6-295.
The juvenile fracture of Tillaux is a Salter-Harris type III fracture of the distal tibial epiphysis. The mechanism of injury is an external rotational force of the foot. The fracture fragment is avulsed from the anterolateral aspect of the distal tibial epiphysis by the anteroinferior tibiofibular ligament. Treatment is based on the amount of displacement after closed reduction techniques are attempted. If complete anatomical reduction cannot be obtained, the authors recommend open reduction with internal fixation. The method of internal fixation should be based on the skeletal maturity of the distal tibial epiphysis. The prognosis usually is good if anatomical reduction is performed. The most serious complication reported is pain and stiffness secondary to articular incongruity following inadequate closed reduction techniques. The case of a 14-year-old girl with a juvenile Tillaux fracture treated by open reduction with excellent functional results at 11 months follow-up was presented.
蒂洛克斯青少年骨折是胫骨远端骨骺的Salter-Harris III型骨折。损伤机制为足部的外旋力。骨折块被胫腓前下韧带从胫骨远端骨骺的前外侧撕脱。治疗基于尝试闭合复位技术后的移位量。如果无法实现完全解剖复位，作者建议切开复位内固定。内固定方法应基于胫骨远端骨骺的骨骼成熟度。如果进行解剖复位，预后通常良好。报道的最严重并发症是闭合复位技术不充分导致关节不协调继发的疼痛和僵硬。本文介绍了一名14岁女孩的青少年蒂洛克斯骨折病例，通过切开复位治疗，随访11个月时功能结果良好。
