We report a case of Tillaux fracture of the distal tibia in a 14-year-old patient. Reduction and fixation of the fracture was achieved arthroscopically through the anterolateral portal. The patient was able to participate in competitive athletic activities 3.5 months after surgery with an AOFAS score of 100. Arthroscopy is an expedient tool in the management of intra-articular fractures of the ankle providing anatomical reduction under direct visualization with minimum intervention.