Abstract

Avulsion fractures of the distal tibia with rupture of the anterior inferior tibiofibular ligament are known as Tillo’s fractures. This injury is commonly seen in adolescents as type III Salter-Harris epiphysiolysis due to distal weakness of the tibia due to closure of the epiphysis. In adult patients, this type of fracture becomes atypical due to the presumed tear of the ligament to the bone avoiding avulsion. However, in recent decades, some cases have been described in the literature.The aim of this study is to present a case of Tillo’s fracture in an adult and add a comprehensive review of the literature regarding the mechanism of injury, associated lesions, treatment, postoperative care, and follow-up.

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