Two Part Triplane Fracture with Extention through Medial Malleolus: Four Cases Report.
- Author:
Seung Do CHA
1
;
Hyung Soo KIM
;
Soo Tae CHUNG
;
Jeong Hyun YOO
;
Jai Hyung PARK
;
Joo Hak KIM
;
Yong Hoon KIM
Author Information
1. Department of Orthopaedic Surgery and Pathology, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea. bladeplate@hanmail.net
- Publication Type:Original Article
- Keywords:
Distal tibial epiphyseal fracture;
Dias.Tachdjian classification;
Two part triplane fracture with extension
- MeSH:
Congenital Abnormalities;
Epiphyses;
Growth Plate;
Joints
- From:Journal of Korean Foot and Ankle Society
2009;13(2):179-183
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The triplane fracture has been described as a fracture of the distal tibial epiphysis occurring across three planes-sagittal, transverse and coronal. The characteristic pattern of fusion of distal tibial epiphysis explains the special configuration of the fragments in the triplane fracture. According to Dias.Tachdjian classification, triplane fracture is classified two part fracture, three part fracture, four part fracture and two part fracture with extension to the medial malleolus. Among four types, two part triplane fracture with extension to the medial malleolus is a relatively rare injury and generally is not treated by closed reduction. Such fractures should have an anatomic reduction and adequate fixation to restore the joint congruity and obtain an anatomic reduction of the growth plate to prevent a future growth deformity. This is usually best accomplished with an open reduction and screw fixation or k-wire fixation. We experienced two part triplane fracture with extension to medial malleolus and check the CT to define the extent of the injury completely. And then we underwent open reduction and screw fixation for the fracture. As a result, we present four cases of two part triplane fracture with extension with review of related literatures.
