Retrospective Cohort Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Feb 18, 2022; 13(2): 131-138
Published online Feb 18, 2022. doi: 10.5312/wjo.v13.i2.131
All-epiphyseal versus trans-epiphyseal screw fixation for tillaux fractures: Does it matter?
Brett Heldt, Isaiah Roepe, Raymond Guo, Elsayed Attia, Ifeoma Inneh, Vinitha Shenava, Indranil Kushare
Brett Heldt, Isaiah Roepe, Raymond Guo, Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX 77030, United States
Elsayed Attia, Ifeoma Inneh, Vinitha Shenava, Indranil Kushare, Department of Orthopedic Surgery, Texas Children's Hospital, Houston, TX 77030, United States
Author contributions: All the authors contributed appropriately and equally in the execution of the study and drafting of manuscript.
Institutional review board statement: This study was approved by IRB for retrospective review of pediatric patients with Tillaux fracture.
Conflict-of-interest statement: The authors report no conflict of interest.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at ikushare@texaschildrens.org.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Indranil Kushare, DNB, MBBS, Assistant Professor, Department of Orthopedic Surgery, Texas Children's Hospital, 17850 I-45 South, Houston, TX 77030, United States. ikushare@texaschildrens.org
Received: June 11, 2021
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
Core Tip

Core Tip: Tillaux fractures that require surgery can undergo screw fixation by all-epiphyseal or trans-epiphyseal techniques. This study shows that there were no statistically significant differences between the functional outcomes or complications between the two techniques. Therefore, we suggest using the trans-epiphyseal techniques because it has an easier screw trajectory in surgery, all-epiphyseal screws have been shown to increase pressure in the tibiotalar joint, and the trajectory is trigonometrically a better angle to compress the fracture.