Fig. 5.

This 12-year-old female sustained this Tillaux fracture due to a missed step going down the stairs (a, b). The patient was short-leg casted and underwent CT scanning, which revealed unacceptable fracture gap at the joint (c–e). Note on CT closure of the medial and posterior areas of the growth plate. She underwent open reduction and fixation with a single cannulated screw (f, g). At her 3-month follow-up, complete physeal closure about the ankle is noted (h, i)