Triplane fracture of distal tibia in children

Česká verzia

Authors: P. Špiroch; J. Freiwald; M. Homza; P. Skoumal
Authors place of work: Primář: doc. MUDr. Igor Čižmář, Ph. D. ; Traumatologické oddělení FN, Olomouc
Published in the journal: Prakt. Lék. 2008; 88(4): 224-227
Category: Of different specialties

Summary

Triplane fracture is an uncommon injury of the distal tibia in children and adolescents. If misdiagnosed and incorrectly treated, it can have weighty consequence in later life. This article describes methods to diagnose and treat this relatively uncommon injury correctly. Results are based on a group of 10 patients treated for triplane fracture at the University Hospital Olomouc between 2004 and 2008. Treatment lead to fracture consolidation within 6 weeks in all children, followed by short rehabilitation. After one year, X- rays and clinical checks confirmed fracture’s full consolidation, without growth disorders and without distal tibia deformity.

Key words:
triplane fracture, distal tibia, miniinvasive osteosynthesis.

Zdroje

1. Brown, S.D., Kasser, J.R., Zurakowski, D., Jaramillo, D. Analysis of 51 tibial triplane fractures using CT with multiplanar reconstruction. Am. J. Roentgenol. 2004, 183(5), p. 1489-1495.

2. Dailiana, Z.H., Malizos, K.N., Zacharis, K. et al. Distal tibial epiphyseal fractures in adolescents. Am. J. Orthop. 1999, 28, p. 309-312.

3. Dias, L.S., Giegerich, C.R. Fractures of the distal tibial epiphysis in adolescence. J. Bone Joint. Surg. Am. 1983, 65: p. 438-444.

4. El-Karef, E., Sadek, H.I., Nairn, D.S. et al. Triplane fracture of the distal tibia. Injury 2000, 31, p. 729-736.

5. Healy, W.A., Starkweather, K.D., Meyer, J., Teplitz, G.A. Triplane fracture associated with a proximal third fibula fracture. Am. J. Orthop. 1996, 25, p. 449-451.

6. Imade, S., Takao, M., Nishi, H., Uchio, Y. Arthroscopy-assisted reduction and percutaneous fixation for triplane fracture of the distal tibia. Arthroscopy 2004, 20, p. 123-128.

7. Jennings, M.M., Lagaay, P., Schuberth, J.M. Arthroscopic assisted fixation of juvenile intra-articular epiphyseal ankle fractures. J. Foot. Ankle. Surg. 2007, 46, p. 376-386.

8. Jones, S., Phillips, N., Ali, F. et al. Triplane fractures of the distal tibia requiring open reduction and internal fixation. Pre-operative planning using computed tomography. Injury 2003, 34, p. 293-298.

9. Kärrholm, J. The triplane fracture: four years of follow-up of 21 cases and review of the literature. J. Pediatr. Orthop. B. 1997, 6, p. 91-102.

10. Marmor, L. An unusual fracture of the tibial epiphysis. Clin. Orthop. Relat. Res. 1970, 73, p. 132-135.

11. McGillion, S., Jackson, M., Lahoti ,O. Arthroscopically assisted percutaneous fixation of triplane fracture of the distal tibia. J. Pediatr. Orthop. B. 2007, 16, p. 313-316.

12. Pesl, T., Havranek, P. Rare injuries to the distal tibiofibular joint in children. Eur. J. Pediatr. Surg. 2006, 16, p. 255-259.

13. Schnetzler, K.A., Hoernschemeyer, D. The pediatric triplane ankle fracture. J. Am. Acad. Orthop. Surg. 2007, 15, p. 738-747.

14. Seifert, J., Laun, R., Paris, S. et al. Die Wertigkeit der Magnetresonanztomografie (MRT) bei der Diagnostik von Übergangsfrakturen im Bereich der distalen Tibia. Unfallchirurg 2001, 104, s. 524-529.

15. van Laarhoven, C.J., Severijnen, R.S, van der Werken. C. Triplane fractures of the distal tibia. J. Foot Ankle. Surg. 1995, 34, p. 556-559; discussion p. 594-595.

16. Whipple, T.L., Martin, D.R., McIntyre, L.F., Meyers, J.F. Arthroscopic treatment of triplane fractures of the ankle. Arthroscopy 1993, 9, p. 456-463.