Isolated Tillaux fracture in an adult: a rare case and review of management

Arun Pandey; Anil Meena; Suhas Kumar Mall; Nagasubramanyam Vempalli; Arvind Kumar; Shashi Singh; Konda Sireesha

doi:10.18203/issn.2455-4510.IntJResOrthop20260525

Authors

Arun Pandey Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India
Anil Meena Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India
Suhas Kumar Mall Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India
Nagasubramanyam Vempalli Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India
Arvind Kumar Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India
Shashi Singh Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India
Konda Sireesha Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20260525

Keywords:

Ankle Injury, Isolated Tillaux Fracture, Adult

Abstract

Isolated Tillaux fractures of the ankle joint are predominantly seen in adolescents due to the presence of open epiphyses, which makes the region more susceptible to injuries. In adults, this fracture is rare because the anterior inferior tibiofibular ligament (AITFL) typically ruptures before bone avulsion occurs. These injuries can be easily missed or misdiagnosed. Recognizing such injuries is critical to prevent long-term complications, including joint instability and post-traumatic arthritis. We report a rare case of an isolated Tillaux fracture in a 35-year-old male following a road traffic accident. This report outlines our diagnostic approach, management strategy, and postoperative outcome.

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