Britton P D
Department of Orthopaedics, Chase Farm Hospital, Enfield, England.
Arch Emerg Med. 1988 Sep;5(3):180-3. doi: 10.1136/emj.5.3.180.
Fracture of the lateral portion of the distal end of the tibia in adults is known as the fracture of Tillaux (Tillaux, 1872). The fracture line extends vertically from the distal articular surface of the tibia upwards to the lateral cortex. The fragment is roughly quadrangular in shape. The analogous epiphyseal injury is less common and two such cases are presented here, both were fixed internally. There now appears to be a consensus of opinion that for fractures of the lateral portion of the distal tibial epiphysis open reduction should be performed, and that closed reduction should be reserved for undisplaced or minimally displaced fractures only.
成人胫骨远端外侧部分骨折被称为蒂洛骨折（蒂洛，1872年）。骨折线从胫骨远端关节面垂直向上延伸至外侧皮质。骨折块大致呈四边形。类似的骨骺损伤较少见，这里介绍两例，均采用内固定治疗。目前似乎已达成共识，即对于胫骨远端骨骺外侧部分骨折应行切开复位，闭合复位仅适用于无移位或轻度移位的骨折。
