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Related Concept Videos

Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

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Related Experiment Video

Updated: Jul 9, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

The pediatric triplane ankle fracture.

Kent A Schnetzler1, Daniel Hoernschemeyer

  • 1Woodland Park Orthopaedic Associates, Pikes Peak Regional Hospital, Woodland Park, CO, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|December 8, 2007
PubMed
Summary

Pediatric triplane ankle fractures are unique transitional injuries in children aged 12-15. Treatment varies from casting for nondisplaced fractures to surgical fixation for displaced ones.

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Last Updated: Jul 9, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Area of Science:

  • Orthopedic Surgery
  • Pediatric Traumatology
  • Skeletal Development

Background:

  • The pediatric triplane ankle fracture is a distinct injury pattern not fully captured by the Salter-Harris classification.
  • It arises from the asymmetric closure of the distal tibial physis, a process unique to the pediatric population.
  • This transitional injury involves multiplanar fracture components and variations.

Purpose of the Study:

  • To describe the characteristics, presentation, and management of pediatric triplane ankle fractures.
  • To highlight the unique nature of these injuries in the pediatric population.
  • To emphasize the importance of accurate reduction in surgical management.

Main Methods:

  • Review of literature on pediatric triplane ankle fractures.
  • Analysis of fracture patterns and classification challenges.
  • Discussion of treatment modalities based on fracture displacement and intra-articular involvement.

Main Results:

  • Triplane ankle fractures represent 5-10% of pediatric intra-articular ankle injuries, typically seen in 12-15 year olds.
  • Nondisplaced or extra-articular fractures are managed non-operatively with casting.
  • Displaced fractures require open reduction and internal fixation, with a goal of intra-articular reduction within 2 mm.

Conclusions:

  • Pediatric triplane ankle fractures are complex injuries requiring specific diagnostic and management considerations.
  • Optimal outcomes depend on achieving precise intra-articular reduction, especially in displaced fractures.
  • Understanding the mechanism of asymmetric physeal closure is key to recognizing and treating these fractures.