Adult Tillaux Fractures Of Ankle: Case Report

INTRODUCTION We describe 2 cases of adult pattern of Tillaux fracture for its rarity and its management. CASE REPORT [Case no.1] 60 years old male patient presented following a fall from height, sustaining injury to his left ankle. [Case No.2] 27 year old male presented with injury to his right ankle following a RTA. Both patients were otherwise fit and well without any injury in the past. On clinical examination, they had ankle swelling, and tenderness with clinical signs of a closed ankle fracture. X-rays of ankle showed coronal plane fracture involving the antero lateral part of the tibial plafond. The fracture patterns were more like Avulsion rather than compression injuries. The fragments involved anterior articular surface and were of significant size with obvious displacement. They were not consistent with Pilon fracture type. We could not fit these pattern in any of the eponymic adult ankle fractures described in the literature. They were consistent with Tillaux fracture patterns that were commonly described in adolescent ankle injuries.

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