Triplane fractures of the distal tibia requiring open reduction and internal fixation

Jones, Scott; Phillips, Nicholas; Ali, Farhan; Fernandes, James A.; Flowers, M.J.; Smith, Thomas W.

doi:10.1016/s0020-1383(02)00099-2

Cited by 45 publications

(27 citation statements)

References 8 publications

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“…However, the position and displacement of the epiphyseal fracture fragments are better identified by CT scan. 17 Magnetic resonance imaging can also be useful for evaluation of ligament injuries. We did not order an magnetic resonance imaging scan, because management included an open reduction and direct visualization of the fracture and other knee structures.…”

Section: Discussionmentioning

confidence: 99%

Triplane Fracture of the Distal Femur

Masquijo

Allende

2011

Journal of Pediatric Orthopaedics

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Section: Discussionmentioning

confidence: 99%

Triplane Fracture of the Distal Femur

Masquijo

Allende

2011

Journal of Pediatric Orthopaedics

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“…Plain radiographs are inadequate in assessing the fracture displacement [2]. Similarly most image intensifier images have low resolution and fail to show articular surface reduction accurately in all planes.…”

Section: Discussionmentioning

confidence: 99%

“…It can also be difficult to assess the axial (physeal) component on plain radiographs. Computed tomography (CT) is therefore indicated to provide supplementary important information on the size and position of the displaced fragments, the location of the intra-articular fracture and associated articular incongruency [2] (Fig. 2a and b).…”

Section: Introductionmentioning

confidence: 99%

Arthroscopically assisted percutaneous fixation of triplane fracture of the distal tibia

McGillion

Jackson

Lahoti

2007

Journal of Pediatric Orthopaedics B

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Triplane ankle fractures typically occur in the adolescent age group. Although many are minimally displaced and can be managed nonoperatively, some are displaced and difficult to reduce by closed methods and need open reduction and internal fixation. Traditionally satisfactory articular reduction is achieved through an open approach, which can be extensive. We describe our experience of treating displaced triplane fractures in four patients, assisted by ankle arthroscopy to ensure anatomical reduction and minimal soft tissue disruption. We achieved excellent reduction and stable fixation in all four cases. All patients regained full range of movement within 6 weeks.

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“…One survey reported that of the surgeons who routinely obtained a CT scan, 100% of them changed their proposed screw placement after the CT scan from their previous plan based on plain radiographs. 34 The diagnostic utility of CT is vital in triplane fractures as the transaxial orientation allows the fracture's transverse component and tibial plafond to be viewed. This becomes especially important as the integrity of the tibial plafond plays a major role in prognosis.…”

Section: Triplanementioning

confidence: 99%

Ankle Fractures in Children and Adolescents

Bible

Smith

2009

Techniques in Orthopaedics

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Ankle fractures occur frequently in the pediatric population with the distal tibia and fibula representing one of the most common sites for physeal injury. A clinician must hold a high index of suspicion for a possible physeal fracture in children versus a simple sprain/strain as in adults. In addition, a thorough understanding of injury type is critical to reduce possible short and long-term complications. The goals of care include achieving and maintaining anatomic reduction and preventing growth arrest, which may cause angular deformity or leg-length discrepancy. Anatomic reduction of intra-articular fractures should be achieved to minimize premature arthritis from articular incongruity. If recognized quickly and treated appropriately, the majority of pediatric ankle fractures have a good prognosis with few long-term sequelae.

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Triplane fractures of the distal tibia requiring open reduction and internal fixation

Cited by 45 publications

References 8 publications

Triplane Fracture of the Distal Femur

Triplane Fracture of the Distal Femur

Arthroscopically assisted percutaneous fixation of triplane fracture of the distal tibia

Ankle Fractures in Children and Adolescents

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