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

Research output: Contribution to journalArticle


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 languageEnglish (US)
Pages (from-to)551-555
Number of pages5
JournalJournal of Pediatric Orthopaedics Part B
Issue number6
Publication statusPublished - Nov 1 2018
Externally publishedYes



  • adolescent ankle fractures
  • open reduction
  • percutaneous fixation
  • Tillaux fractures
  • triplane fractures

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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