Triplane fractures of the adolescent ankle—a report of three cases (original) (raw)
Related papers
Triplane fractures of the distal tibia
Journal of Foot & Ankle Surgery, 1995
Triplane fractures of the distal tibia are relatively rare and usually occur during adolescence. A classification of the various types of triplane fractures, based on a survey of the literature and the material in this study, is presented. The authors' treatment principles are discussed and the results of a consecutive group of 20 patients, including long-term follow-up (median 6 1 / 12 years) are described.
The triplane fracture of the distal tibial epiphysis in children
Injury-international Journal of The Care of The Injured, 1981
Two cases of triplane fracture of the ankle in children are presented. Both patients were treated conservatively with good results. The typical age incidence and difficulties in establishing the diagnosis by X-ray examination are discussed. Closed reduction and plaster immobilization is recommended. Only if joint congruity cannot be restored is operative treatment required.
Concomitant Tibia Shaft and Distal Triplane Fractures
2018
Concomitant tibia shaft fracture and triplane fracture of the distal tibia are very rare in the pediatric orthopaedic traumatology. The very limited number of cases in the world literature has all been documented in adolescent patients. Appropriate diagnostic evaluation and treatment is required to minimize the incidence of delayed or missed diagnosis of the ankle injury, prevent complications and optimize outcomes of both fractures. A new case as well as an extensive review of the literature is presented in this editorial.
Proximal tibia triplane fracture: A serious presentation of a serious injury
Injury Extra, 2010
Triplane fractures of the distal tibia are well-described injuries occurring in the adolescent population, but triplane fractures of other bony regions, including the proximal tibia, are infrequent and not as well described. Only a relatively few reports of proximal tibia triplane fractures exist in the current orthopaedic literature, all with benign clinical courses and two part fractures. 2,6,9,11 These injuries are rare, but when they occur, they can lead to major morbidity for a patient given the vicinity to the knee joint and accompanying neurovascular structures. We report a case of a severe proximal tibia triplane fracture treated with open reduction and internal fixation along with an associated compartment syndrome of the leg requiring a four compartment fasciotomy. The parents of the patient were informed that data concerning the case would be submitted for publication and they consented.
The triplane variant of the tibial apophyseal fracture: a case report and a review of the literature
PubMed, 2003
A rare case of tibial apophyseal fracture with extension in the antero-lateral physis and epiphysis in a 17-year-old boy is described. This type of fracture, which can be associated with intra-articular lesions and lesions of the extensor mechanism, resembles the better known distal tibial triplane fracture. Arthroscopic controlled anatomic reduction with restoration of the articular surface was achieved.
Journal of pediatric orthopedics. Part B, 2018
The goal of this study was to compare open reduction versus percutaneous fixation of adolescent ankle fractures with regards to the incidence of growth disturbance. We performed a retrospective cohort analysis of adolescent patients with triplane or Tillaux fractures. There was an even distribution of triplane fractures and mean initial displacement between cohorts. Analysis of follow-up radiographs revealed no instances of growth disturbance in the percutaneous fixation group and six in the open reduction group (P=0.29). Growth disturbance does not pose a significant concern when selecting a surgical approach. Owing to the rarity of these fractures this study was underpowered.