Osteosynthesis of a triplane fracture under arthroscopic control in a bilateral case

2007 ◽  
Vol 13 (2) ◽  
pp. 83-90 ◽  
Author(s):  
Jean-Michel Laffosse ◽  
Pascal Cariven ◽  
Franck Accadbled ◽  
Serge Bone ◽  
Mohamed-Ali Chaffai
Keyword(s):  
Triplane Fracture ◽  
Bilateral Case

scholarly journals TREATMENT OF TRIPLANE FRACTURE ANKLE FRACTURES ASSOCIATED WITH IPSILATERAL TIBIAL FRACTURES USING A NOVEL APPROACH

2021 ◽  
Vol 29 (6) ◽  
pp. 323-326
Author(s):  
WEVERLEY RUBELE VALENZA ◽  
JAMIL FAISSAL SONI ◽  
JEAN CARLO BARBOSA ◽  
CHRISTIANO SALIBA ULIANA ◽  
CAROLINA UMETA MATSUNAGA
Keyword(s):  
Case Series ◽  
Shaft Fracture ◽  
General Information ◽  
Tibial Fractures ◽  
Ankle Fractures ◽  
Tibial Shaft Fracture ◽  
Level Of Evidence ◽  
Novel Approach ◽  
Triplane Fracture ◽  
Salter Harris

ABSTRACT Objective: The aim of this study is to purpose a novel approach to the concomitant triplanar and tibial shaft fracture. Methods: Retrospective study between 2001 and 2019. We collected the patients’ general information, clinical and radiographic data, and complications after the following three-step treatment: (1) fixation of the Salter-Harris II fracture of the triplane fracture, (2) fixation of the Salter-Harris II/IV fracture with cannulated screws, and (3) fixation of the tibial fracture with flexible titanium nails. Results: The study included seven patients (six males) with a mean age of 14 years and a mean follow-up of 6.4 years (minimum two years). Five triplane fractures had two fragments and two had three fragments. Five fractures were classified as Salter-Harris II and two as Salter-Harris IV. Three tibial fractures were long oblique, three were spiral, and one had a third fragment. Six fractures affected the middle third and one affected the distal third of the tibia. All triplane and tibial fractures consolidated without significant displacement. No physeal damage was identified. Conclusions: This study described the association of tibial fractures with triplane ankle fractures managed by our proposed treatment, which proved to be effective for this fracture association. Level of Evidence IV, Case Series.

scholarly journals Proximal Triplane Tibial Fracture in a 6-Year-Old Girl

2021 ◽  
Vol 3 (1) ◽  
pp. 38-40
Author(s):  
Ziyad AlShaqsi ◽  
Sara Alhabsi ◽  
Yumna Alnaabi ◽  
Yaqoub Almufargi
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Tibial Fracture ◽  
Tibial Fractures ◽  
Kirschner Wires ◽  
Distal Fibula ◽  
Distal Tibial Fractures ◽  
Proximal Tibial Fractures ◽  
Triplane Fracture ◽  
Salter Harris

Proximal tibial fractures are very rare. Our case is about a six-year-old girl presented with proximal tibial triplane fracture associated with proximal and distal fibula and distal tibial fractures, as a result of a fall of a cement wall on her right knee. A radiograph and computerized tomography (CT) scan were reported as Salter-Harris type III fracture. She was treated by an open reduction and internal fixation by a screw and Kirschner wires. She was followed up for 12 months and showed an excellent knee outcome and her knee range of motion was 10-130o. Anatomical reduction and stable fixation are necessary to prevent future pain, deformity and arthritis. The case demonstrates the efficacy of using an open reduction and internal fixation by a screw and Kirschner wires in treating children with triplane proximal tibial fracture.  This type of fracture is not frequently seen and a right diagnosis leads to better management, which could prevent future complications

scholarly journals Triplane Fracture of Distal Femur in an Adult Rare Case Study and Review

2014 ◽  
Vol 16 (5) ◽  
pp. 523-530
Author(s):  
Nitesh Gahlot ◽  
Uttam Saini ◽  
Shivprakash SS ◽  
Sameer Aggarwal
Keyword(s):  
Rare Case ◽  
Distal Femur ◽  
Triplane Fracture

Triplane Fracture of the Distal Tibial Epiphysis

Orthopedics ◽  
1981 ◽  
Vol 4 (1) ◽  
pp. 85-90
Author(s):  
Michael Goodwin ◽  
Robert D D'Ambrosia
Keyword(s):  
Tibial Epiphysis ◽  
Triplane Fracture

scholarly journals A previously unreported type of extra-articular triplane fracture: A revised classification system

2019 ◽  
Vol 27 (1) ◽  
pp. 230949901982850
Author(s):  
Colin S Yung ◽  
Evelyn E Kuong ◽  
Wang Chow
Keyword(s):  
Classification System ◽  
Triplane Fracture

scholarly journals Isolated Triplane Fracture Of Distal Tibia In Adolescent

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0008
Author(s):  
Shaqirin Safie ◽  
Zulfahrizzat Shamsudin ◽  
Azzamuddin Alias ◽  
Abdul Rauf Ahmad
Keyword(s):  
Ct Scan ◽  
Weight Bearing ◽  
Distal Tibia ◽  
Fracture Site ◽  
Posterolateral Approach ◽  
Rigid Fixation ◽  
Diagnostic Challenge ◽  
Text Figure ◽  
Triplane Fracture ◽  
Tillaux Fracture

Introduction: Triplane fracture is a traumatic ankle fracture seen in children 10-17 years of age. Name derives from the fact that the fracture exists in the frontal, lateral, and transverse planes and considered as transitional injuries because occur during the period of distal tibial physeal closure. It results from supinationexternal rotation injury, same as tillaux fracture. Report: We presented a case of 14 years old male with right ankle pain after fall with twisted position while running. Examination revealed tenderness on his right ankle, and radiograph showed Salter-Harris IV of tibial epiphysis. CT scan was performed to determine fracture configurations. Open reduction and internal fixation was done using posterolateral approach using T buttress plate 6 holes to fix the metaphysis fracture. Subsequently anterolateral incision was done to assess epiphysis fracture however fracture site not displaced thus lag screw was abandoned. Postoperatively, the ankle was protected in a backslab for 2week; thereafter, the ankle was mobilized and subjected to progressively increasing motion. Weight bearing was allowed to resume at 6 weeks postoperatively. A normal gait had been achieved by 12 weeks postoperatively. The diagnosis of Triplane fracture poses a diagnostic challenge and often missed in healthcare centres. On standard AP and lateral radiographs, the fractures cannot be easily detected because of superimposition as radiographic sensitivity for Triplane fracture is only 50%. CT scan of the ankle is recommended if clinical findings are suggestive. The treatment of the Tillaux fragment with compression screws in the case of displacement of >2 mm which achieves anatomical reduction, rigid fixation and early mobilization gives good prognosis. [Figure: see text][Figure: see text][Figure: see text] Conclusion: Displacement of >2 mm in any plane is an indication for surgery for both triplane and tillaux fracture, to prevent persistent pain and osteoarthritis in the future. CT scan of the ankle is necessary prior to surgery. References: Crawford, Alvin H Triplane and Tillaux fracture : Journal of Pediatric Orthopaedics : June 2012 - volume 32 pg S69-S73

Tough day: Triplane fracture

2022 ◽  
pp. 296-299
Author(s):  
Robert Vezzetti
Keyword(s):  
Triplane Fracture
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