Distal tibial triplane fracture with ipsilateral tibial shaft fracture: A case series

Holland, T.; Prior, Christopher P.; Walton, Roger

doi:10.1016/j.surge.2018.03.004

Cited by 6 publications

(7 citation statements)

References 10 publications

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“…As this injury is peculiar to the adolescent age group, we recommend ankle assessment of all patients with tibial shaft fractures in this age group both clinically and radiologically. tibia shaft fracture in triplane ankle injuries to be 8.5% [11]. Sferopoulos published an article of a similar case in international journal of radiology in 2018 wherein the patient was managed conservatively [2].…”

Section: Discussionmentioning

confidence: 99%

“…Holland et al published a case series of five patients in 2018 where all the triplane injuries were surgically treated and four of five tibia shaft were managed conservatively. They also found an incidence of concurrence of tibia shaft fracture in triplane ankle injuries to be 8.5% [ 11 ]. Sferopoulos published an article of a similar case in international journal of radiology in 2018 wherein the patient was managed conservatively [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Orthopedic surgeons should be aware of such association of tibia fractures, especially spiral fractures, with ankle injuries. If unrecognized, it can lead to premature physeal closure, angular deformity, and degenerative changes in ankle [ 11 , 12 , 13 ]. However, as these injuries occur almost at the end of physeal growth, they rarely can result in growth arrest/limb length discrepancies [ 10 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Management of Adolescent Three-Part Lateral Triplane Ankle Fracture with Ipsilateral Shaft of Tibia Fracture and Intact Fibula in COVID Pandemic: A Case Report with Review of Literature

Mittal

Prakash

David

et al. 2021

JOCR

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Introduction: Triplane fracture of ankle is a rare adolescent injury. Its association with ipsilateral tibial shaft fracture is very uncommon in pediatric orthopedic traumatology and rarely reported in the literature till date. Timely diagnosis and management is required to optimize the outcome and avoid complications. Case Report: This is a case of a 14-year-old male who sustained a twisting injury to his right leg during early phase of COVID-19 pandemic. He sustained a three-part lateral triplane fracture of the ankle with a concomitant displaced spiral fracture of the shaft of the right tibia. He underwent close reduction under fluoroscopy and above-knee casting for 10 weeks followed patellar tendon weight-bearing cast for 4 weeks. Both fractures healed uneventfully in 14 weeks with patient returning to full activities in 22 weeks. Conclusion: The ankle injury in adolescent age group (12–15 years) can easily be missed in the presence of the more obvious tibial fracture and therefore, we recommend ankle assessment of all patients with tibial shaft fractures in this age group both clinically and radiologically. Keywords: Triplane ankle fracture, tibia shaft fracture, adolescent.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Management of Adolescent Three-Part Lateral Triplane Ankle Fracture with Ipsilateral Shaft of Tibia Fracture and Intact Fibula in COVID Pandemic: A Case Report with Review of Literature

Mittal

Prakash

David

et al. 2021

JOCR

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“…In our literature search, we found only five studies describing this association, with the largest series, including six patients. [7][8][9][10][11] Despite the infrequency of this association, more studies are needed to compare treatments and establish the best approach. Kasture and Azurza, 12 in a case report and literature review, described that those tibial fractures may be oblique or spiral (suggesting a twisting injury), while triplane fractures also result from traumas with this type of mechanism, postulating that the trauma extends distally from the leg to the ankle.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Triplane Fracture Ankle Fractures Associated With Ipsilateral Tibial Fractures Using a Novel Approach

Valenza¹,

Soni²,

Barbosa³

et al. 2021

Acta ortop. bras.

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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.

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“…Recently a limited number of new cases suffering from ipsilateral tibia shaft and distal triplane fracture have been presented. They were all recorded in adolescents [42][43][44][45][46][47] .…”

Section: Editorialmentioning

confidence: 99%

Concomitant Tibia Shaft and Distal Triplane Fractures

Sferopoulos¹

2018

International Journal of Radiology

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Concomitant tibia shaft fracture and triplane fracture of the distal tibia are very rare in the pediatric orthopaedic traumatology. The very limited number of cases in the world literature has all been documented in older children or adolescent patients. Appropriate diagnostic evaluation and treatment is required to minimize the incidence of delayed or missed diagnosis of the ankle injury, prevent complications and optimize outcomes of both fractures. A new case as well as an extensive review of the literature is presented in this editorial.

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Distal tibial triplane fracture with ipsilateral tibial shaft fracture: A case series

Cited by 6 publications

References 10 publications

Management of Adolescent Three-Part Lateral Triplane Ankle Fracture with Ipsilateral Shaft of Tibia Fracture and Intact Fibula in COVID Pandemic: A Case Report with Review of Literature

Management of Adolescent Three-Part Lateral Triplane Ankle Fracture with Ipsilateral Shaft of Tibia Fracture and Intact Fibula in COVID Pandemic: A Case Report with Review of Literature

Treatment of Triplane Fracture Ankle Fractures Associated With Ipsilateral Tibial Fractures Using a Novel Approach

Concomitant Tibia Shaft and Distal Triplane Fractures

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