Percutaneous versus open reduction and fixation for Tillaux and triplane fractures: a multicenter cohort comparison study. Issue 6 (November 2018)

• Record Type: Journal Article
• Authors: Zelenty, William; Yoon, Richard S.; Shabtai, Lior; Choi, Paul; Martin, Benjamin; Horn, David; Feldman, David S.; Otsuka, Norman Y.; Godfried, David H.
• Is Part Of: Journal of pediatric orthopedics. Volume 27:Issue 6(2018)
• Publication Date: 2018-11
• Subjects: adolescent ankle fractures -- open reduction -- percutaneous fixation -- Tillaux fractures -- triplane fractures; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000522
• Languages: English
• ISSNs: 1060-152X

Abstract

Abstract : The goal of this study was to compare open reduction versus percutaneous fixation of adolescent ankle fractures with regards to the incidence of growth disturbance. We performed a retrospective cohort analysis of adolescent patients with triplane or Tillaux fractures. There was an even distribution of triplane fractures and mean initial displacement between cohorts. Analysis of follow-up radiographs revealed no instances of growth disturbance in the percutaneous fixation group and six in the open reduction group ( P =0.29). Growth disturbance does not pose a significant concern when selecting a surgical approach. Owing to the rarity of these fractures this study was underpowered.