• 1

    Kumar N, Prasad M: Tillaux fracture of the ankle in an adult: a rare injury J Foot Ankle Surg 53: 757, 2014.

    • Crossref
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 2

    Kose O, Yuksel HY, Guler F, et al: Isolated adult Tillaux fracture associated with Volkmann fracture: a unique combination of injuries: report of two cases and review of the literature. J Foot Ankle Surg 55: 1057, 2016.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 3

    Miller MD: Arthroscopically assisted reduction and fixation of an adult Tillaux fracture of the ankle. Arthroscopy 13: 117, 1997.

  • 4

    Duchesneau S, Fallat LM: The Tillaux fracture. J Foot Ankle Surg 35: 127, 1996.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 5

    Patel A, Shur V: Juvenile Tillaux ankle fracture pattern in a skeletally mature adult. The Foot 16: 54, 2006.

  • 6

    Jennings MM, Lagaay P, Schuberth JM: Arthroscopic assisted fixation of juvenile intra-articular epiphyseal ankle fractures. J Foot Ankle Surg 46: 376, 2007.

  • 7

    Smith MG, Ferguson E, Kurdy NM: Persistent diastasis in a Maisonneuve fracture: interposition of a tibial osteochondral fragment: a case report. J Foot Ankle Surg 44: 225, 2005.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8

    Simon WH, Floros R, Schoenhaus H, et al: Juvenile fracture of Tillaux: a distal tibial epiphyseal fracture. JAPMA 79: 295, 1989.

  • 9

    Sharma B, Reddy IS, Meanock C: The adult Tillaux fracture: one not to miss. BMJ Case Rep 2013: bcr2013200105, 2013.

  • 10

    Marti CB, Kolker DM, Gautier E: Isolated adult Tillaux fracture: a case report. Am J Orthop 34: 337, 2005.

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

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  • 1 Hospital Sírio-Libanês, Brasília-DF, Brazil.
  • | 2 Hospital Naval Marcilio Dias.
  • | 3 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)