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Adult Tillaux Fracture in Association with Volkmann and Maisonneuve Fratures: A Case Report

Henrique Mansur Hospital Sírio-Libanês, Brasília-DF, Brazil.

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Thiago Lima Hospital Sírio-Libanês, Brasília-DF, Brazil.

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Cesar Goncalves Hospital Naval Marcilio Dias.

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Isnar Castro Jamil Haddad National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil.

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Tillaux fracture is known to occur in adolescents once it happens during the transition period when the medial and central physis has finished closure, but the lateral physis is still opened. The trauma mechanism is typically external rotation ankle injury resulting in an avulsion fracture of the anterolateral tibial plafond. This fracture has rarely been reported in adults, especially associated with other injuries. We report a case of Tillaux fracture in an adult, associated with a Volkmann fracture and a Maisonneuve fracture, that were surgically treated with open reduction and internal fixation and had an excellent outcome. Recognizing and appropriately treating these injuries is key in the prevention of further degenerative arthritis and instability.

Corresponding author: Henrique Mansur, Hospital Sirio-Libanes - SGAS 613/614 Conjunto E Lote 95, SGAS II St. de Grandes Áreas Sul 613 - Asa Sul, Brasília - DF, 70200-730, Brazil. (E-mail: henrimansur@globo.com)
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