Treatment Outcomes of Triplane and Tillaux Fractures of the Ankle in Adolescence.
- Author:
Jung Ryul KIM
1
;
Kwang Hun SONG
;
Kyung Jin SONG
;
Hyeong Suk LEE
Author Information
- Publication Type:Original Article
- Keywords: Ankle; Adolescence; Triplane fracture; Tillaux fracture; Treatment outcome
- MeSH: Adolescent; Ankle Injuries/diagnosis/radiography/*surgery; Arthroscopy; Child; Female; Fracture Fixation, Internal; Humans; Intra-Articular Fractures/diagnosis/radiography/*surgery; Male; Tibial Fractures/diagnosis/radiography/*surgery; Tomography, Emission-Computed, Single-Photon; Tomography, X-Ray Computed
- From:Clinics in Orthopedic Surgery 2010;2(1):34-38
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: To identify the fracture configuration and treatment results for patients with triplane and Tillaux fractures in the ankle joint. METHODS: A retrospective study was performed on 14 patients with a more than one year follow-up. This study investigated the fracture configuration, concomitant fibula fracture, treatment methods and complications. The treatment outcomes were analyzed using modified Weber protocol. RESULTS: Among the 14 cases, 11 were triplane fractures and 3 were Tillaux fractures. Seven were two part triplane fractures, and 4 were three part triplane fractures. Eight were lateral triplane fractures, and 3 were medial triplane fractures. A fibula fracture was accompanied by 7. The fibular fracture comprised of oblique fractures in all cases. A closed and open reduction was performed in 6 and 8 cases, respectively. All but one showed excellent treatment outcomes at the final follow-up. Traumatic arthritis developed in 1 case. CONCLUSIONS: Precisely detecting the fracture configuration by computed tomography and understanding the injury mechanism have greatly improved the outcomes of triplane fractures and Tillaux fractures of the ankle in adolescent patients.
