Ipsilateral Tibial Shaft Fracture and Distal Tibial Triplane Fracture with an Intact Fibula: A Case Report

Autor: Walter B Sprenger De Rover, Sulaiman Alazzawi, Peter J Hallam, Neil P Walton
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Journal of Orthopaedic Surgery, Vol 19 (2011)
Druh dokumentu: article
ISSN: 2309-4990
23094990
83572805
DOI: 10.1177/230949901101900321
Popis: We present a case of an ipsilateral tibial shaft fracture and a distal tibial triplane fracture with an intact fibula in a 14-year-old boy. Computed tomography revealed the distal tibial triplane fracture with a 2.6-mm displaced Tillaux fragment and a posterior malleolar shear fragment. Open reduction and internal fixation was performed to optimise healing and outcome. This is a rare injury, for which a high index of suspicion is needed for diagnosis. Missing the intra-articular distal tibial triplane fracture could result in a disabling angular deformity (mostly varus) or limb-length discrepancy secondary to premature partial closure of the distal physis.
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