ABSTRACT
External fixation treatment has often been used to manage open fractures, fractures associated with severe soft tissue injury, patients with head or vascular injuries or fractures with complex fracture patterns that are less amenable to flexible intramedullary nailing. The benefits of external fixation include avoidance of long incisions, exposure of fracture site, further soft tissue trauma and significant blood loss. Galeazzi's fracture is an uncommon injury in children. Injury to the distal radio-ulnar joint is frequently overlooked and persistent joint subluxation is responsible for poor long-term results. Tillaux and triplane fractures are referred to as transitional fractures because they occur in adolescents during skeletal maturity and they are specific injuries that occur as the distal tibial growth plate is beginning to close. Tillaux fracture results from an external rotational force and consists of avulsion of the anterolateral position of the distal tibial epiphysis by the anterior tibiofibular ligament.
