Skip Navigation
Skip to contents

J Korean Soc Fract : Journal of the Korean Society of Fractures

OPEN ACCESS

Articles

Page Path
HOME > > Volume 8(4); 1995 > Article
Original Article
Triplane Fracture of the Distal Tibial Epiphysis
Jin Hwan An, Jae Keun So, Jae Chul Ok
Journal of the Korean Society of Fractures 1995;8(4):870-877.
DOI: https://doi.org/10.12671/jksf.1995.8.4.870
Published online: July 9, 2016

Department of Orthopaedic Surery, School of Medicine, Kyun Hee University, Seoul, Korea.

Copyright © The Korean Fracture Society

  • 39 Views
  • 0 Download
prev next
  • The triplane fracture of the distal end of the tibia in adolescents is considered uncommon injuries, but recently it has received considerable attention in the orthopaedic literature. We reviewed five patients who had been treated at Kyung Hee University Hsopital for triplane fractures and followed up at least one year. The purposes of this paper were to determine the configuration of the fracture and the results of treatment.
    The cause of injury was slip down in three patients, fall down in one patients and sports injury in one patient. The mechanism of injury was supination-external rotation in four patients and unknown in one patient.
    The plain x-ray and CT were evaluated in all patients. On radiological evaluation, the initial displacement more than 2mm observed in four patients, but displaced fractures were reduced less than 2mm after treatment. The two fragment fractures were seen in two patients, three fragments in three patients. At last follow-up, complete union with anatomical position occurred without degenerative change of ankle joint and any deformity.
    We treated operatively in two patients, one with arthroscopic reduction and percutaneous pinning, the other with open reduction and internal fixation. Also we treated conservatively in one minimal displaced fracture and two displaced fractures. The results were graded using a modification of the Weber protocol. Points were assigned for pain, walking, activity, radiographic findings, function of the ankle joint, and deformity. The results was classified as excellent in 5 patients and good, fair and poor results was none. The complications was not developed in atl patients. The initial displacement, No. of fragments and treatment method were not significantly affect the results of treatment.
    Finally, we had excellent results in triplane fracture if the reduction less than 2mm regardless initial displacement can obtained.

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  

      • Cite
        CITE
        export Copy Download
        Close
        Download Citation
        Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

        Format:
        • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
        • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
        Include:
        • Citation for the content below
        Triplane Fracture of the Distal Tibial Epiphysis
        J Korean Soc Fract. 1995;8(4):870-877.   Published online October 31, 1995
        Close
      • XML DownloadXML Download
      We recommend
      Related articles
      Triplane Fracture of the Distal Tibial Epiphysis
      Triplane Fracture of the Distal Tibial Epiphysis

      J Korean Soc Fract : Journal of the Korean Society of Fractures
      Close layer
      TOP