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Triplane fracture of the distal tibia
E El-Karef1, H I Sadek, D S Nairn
1Department of Orthopaedics, Princess Alexandra Hospital, Hamstel Road, Essex, CM20 1QX, Harlow, UK.
Injury
|November 21, 2000
Summary
This study on distal tibia triplane fractures found most were lateral and had 2-3 fragments. Non-operative management was common, with most patients reporting excellent outcomes.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Traumatology
Background:
- Triplane fractures of the distal tibia are complex injuries.
- Understanding their characteristics and management is crucial for optimal outcomes.
Purpose of the Study:
- To present findings from a prospective study of triplane fractures of the distal tibia.
- To analyze fracture patterns, treatment methods, and patient outcomes.
Main Methods:
- Prospective study involving 21 patients with triplane fractures of the distal tibia.
- Classification of fractures based on fragment number and location (lateral/medial).
- Documentation of treatment (non-operative vs. operative) and patient satisfaction.
Main Results:
- Nineteen (90.5%) lateral and two (9.5%) medial triplane fractures were identified.
- Two-fragment fractures occurred in 57% of cases, three-fragment in 29%, and four-fragment in 14%.
- 14 cases (67%) were managed non-operatively; 7 (33%) underwent open reduction and internal fixation. 95% of patients were pleased with the final outcome, with 67% achieving excellent objective results.
Conclusions:
- Lateral triplane fractures are more common.
- Both operative and non-operative management can lead to favorable outcomes.
- High patient satisfaction and excellent objective results are achievable in triplane fractures of the distal tibia.