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Percutaneous versus open reduction and fixation for Tillaux and triplane fractures

a multicenter cohort comparison study

Zelenty, Williama; Yoon, Richard S.b; Shabtai, Liord; Choi, Pauld; Martin, Benjamine; Horn, Davidf; Feldman, David S.g; Otsuka, Norman Y.c; Godfried, David H.a

Journal of Pediatric Orthopaedics B: November 2018 - Volume 27 - Issue 6 - p 551–555
doi: 10.1097/BPB.0000000000000522
LEG, ANKLE & FOOT
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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.

aDepartment of Orthopaedic Surgery, Division of Pediatric Orthopaedic Surgery

bDepartment of Orthopaedic Surgery, Division of Orthopaedic Trauma, NYU Langone Orthopedic Hospital

cDivision of Pediatric Orthopaedic Surgery, Department of Orthopaedic Surgery, The Children’s Hospital at Montefiore, New York City, New York

dDepartment of Orthopaedic Surgery, Division of Pediatric Orthopaedic Surgery, Children’s Hospital of Los Angeles, Los Angeles, California

eDivision of Orthopaedic Surgery & Sports Medicine, Children’s National Medical Center, Washington, District of Columbia

fDepartment of Orthopaedic Surgery, Division of Pediatric Orthopaedic Surgery, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania

gPaley Institute, West Palm Beach, Florida, USA

Correspondence to David H. Godfried, MD, Department of Orthopaedic Surgery, Division of Pediatric Orthopaedic Surgery, NYU Langone Orthopedic Hospital, 301 E 17th Street, New York, NY 10003, USA Tel: +1 212 598 6624; fax: +1 646 754 7749; e-mail: david.godfried@nyumc.org

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