Arthroscopic surgical treatment of Tillaux fracture

Abstract

To report efficacy of arthroscopic technique as an alternative to the opening technique. We report a case of arthroscopic osteosynthesis for Tillaux fracture. This was a 14-year-old adolescent diagnosed with Tillaux fracture on the left side. The arthroscopic assisted reduction and fixation were carried out using two double threaded compressive screws. After 2 years of follow-up the patient did not have complications and failures, and she had complete recovery of joint mobility, and reported high satisfaction with the result. Although the described technique has a longer learning curve, we showed the possibility of performing the entire procedure without opening the fracture site. The outstanding result and lack of complications might be related to the arthroscopic approach that is less aggressive to the soft tissue, and preserve the periosteum. Although a longer followup is needed, this technique allowed a more physiological recovery to our patient.