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

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 languageEnglish (US)
Pages (from-to)551-555
Number of pages5
JournalJournal of Pediatric Orthopaedics Part B
Volume27
Issue number6
DOIs
Publication statusPublished - Nov 1 2018
Externally publishedYes

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Keywords

  • 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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