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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(03): 399-402
DOI: 10.1055/s-0040-1716759
Relatos de Casos
Ortopedia Pediátrica

Missed Tillaux Fracture and Syndesmosis Injury in Adult: Arthroscopic Assisted Reduction and Fixation[*]

Article in several languages: português | English
Nuno Oliveira 
1   Serviço de Ortopedia e Traumatologia, Hospital de Braga, Sete Fontes, São Victor, Braga, Portugal
,
Pedro Pinho 
1   Serviço de Ortopedia e Traumatologia, Hospital de Braga, Sete Fontes, São Victor, Braga, Portugal
,
Mário Baptista 
1   Serviço de Ortopedia e Traumatologia, Hospital de Braga, Sete Fontes, São Victor, Braga, Portugal
,
Daniel Freitas
1   Serviço de Ortopedia e Traumatologia, Hospital de Braga, Sete Fontes, São Victor, Braga, Portugal
,
Pedro Varanda 
1   Serviço de Ortopedia e Traumatologia, Hospital de Braga, Sete Fontes, São Victor, Braga, Portugal
2   Instituto de Investigação em Ciências da Vida e Saúde (ICVS), Escola de Medicina, Universidade do Minho, Braga, Portugal
,
Bruno S. Pereira 
1   Serviço de Ortopedia e Traumatologia, Hospital de Braga, Sete Fontes, São Victor, Braga, Portugal
2   Instituto de Investigação em Ciências da Vida e Saúde (ICVS), Escola de Medicina, Universidade do Minho, Braga, Portugal
3   Clínica do Dragão, Espregueira Mendes Sports Center, FIFA Medical Center of Excellence, Estádio do Dragão, Porto, Portugal
4   Universitat de Barcelona, Gran Via de les Corts Catalanes, Barcelona, Espanha
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Abstract

Tillaux fractures are fractures of the lateral margin of the distal tibia, usually reported in children between 12 and 14 years old. As intraarticular fractures, they require anatomic reduction and fixation to avoid posttraumatic complications. Since the injury mechanism is external rotation of the foot on the leg, these injuries are commonly associated with other fractures or ligamentous lesions. Currently, arthroscopy is being increasingly used to assist and improve surgical treatment of ankle fractures. The authors describe a 12-month follow-up of a rare case of a missed Tillaux fracture associated with syndesmosis injury in a 76-year-old polytrauma patient, successfully treated by arthroscopically-assisted reduction and internal fixation.

Keywords

ankle fractures - ankle injuries - arthroplasty, replacement, ankle - minimally invasive surgical procedures

* Work developed at Serviço de Ortopedia e Traumatologia do Hospital de Braga, Braga, Portugal.




Publication History

Received: 06 June 2020

Accepted: 06 July 2020

Article published online:
21 December 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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