Percutaneous versus open reduction and fixation for Tillaux and triplane fractures: A multicenter cohort comparison study

William Zelenty; Richard S. Yoon; Lior Shabtai; Paul Choi; Benjamin Martin; David Horn; David S. Feldman; Norman Y. Otsuka; David H. Godfried

doi:10.1097/BPB.0000000000000522

Percutaneous versus open reduction and fixation for Tillaux and triplane fractures: A multicenter cohort comparison study

William Zelenty, Richard S. Yoon, Lior Shabtai, Paul Choi, Benjamin Martin, David Horn, David S. Feldman, Norman Y. Otsuka, David H. Godfried

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

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.

Original language	English (US)
Pages (from-to)	551-555
Number of pages	5
Journal	Journal of Pediatric Orthopaedics Part B
Volume	27
Issue number	6
DOIs	https://doi.org/10.1097/BPB.0000000000000522
State	Published - Nov 1 2018

Keywords

Tillaux fractures
adolescent ankle fractures
open reduction
percutaneous fixation
triplane fractures

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Orthopedics and Sports Medicine

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10.1097/BPB.0000000000000522

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title = "Percutaneous versus open reduction and fixation for Tillaux and triplane fractures: A multicenter cohort comparison study",

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.",

keywords = "Tillaux fractures, adolescent ankle fractures, open reduction, percutaneous fixation, triplane fractures",

author = "William Zelenty and Yoon, {Richard S.} and Lior Shabtai and Paul Choi and Benjamin Martin and David Horn and Feldman, {David S.} and Otsuka, {Norman Y.} and Godfried, {David H.}",

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TY - JOUR

T1 - Percutaneous versus open reduction and fixation for Tillaux and triplane fractures

T2 - A multicenter cohort comparison study

AU - Zelenty, William

AU - Yoon, Richard S.

AU - Shabtai, Lior

AU - Choi, Paul

AU - Martin, Benjamin

AU - Horn, David

AU - Feldman, David S.

AU - Otsuka, Norman Y.

AU - Godfried, David H.

PY - 2018/11/1

Y1 - 2018/11/1

N2 - 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.

AB - 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.

KW - Tillaux fractures

KW - adolescent ankle fractures

KW - open reduction

KW - percutaneous fixation

KW - triplane fractures

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Percutaneous versus open reduction and fixation for Tillaux and triplane fractures: A multicenter cohort comparison study

Abstract

Keywords

ASJC Scopus subject areas

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