Millán-Billi A, Fa-Binefa M, Gómez-Masdeu M, Carrera I, De Caso J
Orthopaedics and Traumatology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
J Clin Orthop Trauma. 2022 Feb 23;27:101809. doi: 10.1016/j.jcot.2022.101809. eCollection 2022 Apr.
Avulsion fractures of the distal tibia resulting from anterior inferior tibiofibular ligament are known as Tillaux fractures. This injury is usually seen among adolescents as a Salter Harris type 3 epiphysiolisis in relation to bone weakness in distal tibia due to ephiphyseal closure. Regarding adult patients, this pattern of fracture become such an atypical one due to supposed failure of ligament previous to bone, avoiding avulsion. However, some cases have been described in recent decades.The purpose of the present study is to present an adult Tillaux case and add an exhaustive review of literature regarding mechanism of injury, associated lesions, treatment, postoperative care and follow up.
Level V.
由胫腓前下韧带导致的胫骨远端撕脱骨折被称为蒂洛克斯骨折。这种损伤通常见于青少年，属于Salter Harris 3型骨骺分离，与胫骨远端因骨骺闭合导致的骨质薄弱有关。对于成年患者，由于推测韧带在骨之前失效，避免了撕脱，这种骨折模式变得不典型。然而，近几十年来已有一些病例被描述。本研究的目的是呈现一例成年蒂洛克斯骨折病例，并对损伤机制、相关损伤、治疗、术后护理及随访进行详尽的文献综述。
V级。
