Published online Feb 18, 2022. doi: 10.5312/wjo.v13.i2.131
Peer-review started: June 11, 2021
First decision: July 28, 2021
Revised: August 5, 2021
Accepted: January 13, 2022
Article in press: January 13, 2022
Published online: February 18, 2022
Processing time: 252 Days and 6.2 Hours
Operative management of Tillaux fractures in adolescent patients is recommended for more than 2 mm of displacement or more than 1 mm of translation with screw fixation.
The efficacy, superiority and complications of trans-physeal vs all-physeal screw fixation have not been investigated in literature yet.
To compare outcomes of trans-physeal and all-epiphyseal screw fixation in management of Tillaux fractures in young patients.
The patients were divided into group 1 (oblique screw fixation) and group 2 (parallel screw fixation). Patient characteristics and functional outcomes were compared between groups.
A total of 42 patients (28 females and 14 males) were divided into Groups 1 and 2, which consisted of 17 and 25 patients, respectively. Statistical analysis revealed no significant differences in the functional outcomes, pain scores, or satisfaction between groups.
In young patients with Tillaux fractures, comparing functional outcomes of different methods of screw fixation orientation to the physis, showed no difference regarding functional outcomes.
Based on our findings, oblique screws, which provide better compression of the Tillaux fracture, are recommended over parallel screws, which create more joint forces and require a more difficult screw trajectory.