title: [Triplane fractures of the tibia. Apropos of 25 cases and general review].
abstract: The authors report their experience with a series of 25 distal tibial triplane fractures: 13 two-fragment lateral triplane fractures, 10 three-fragment lateral triplane fractures and 2 medial triplane fractures. These cases were mostly adolescents near the end of the growth spurt period. Tomography or CT scanning allowed a better delineation of the anatomic type of the fracture and of the displacements. Treatment modalities, surgical versus conservative are presented. Therapeutic indications depended on the anatomic configuration of the fracture; closed methods were most often applied to the two-fragment lateral triplane fractures, surgical treatment for most of the three-fragment lateral triplane fractures and for the medial triplane fractures. Results were usually good after an intermediate term follow-up. Joint incongruity secondary to insufficient reduction was a more severe sequela than growth disturbances.
authors.affiliation: Service de Chirurgie orthopédique et réparatrice de l'enfant, Hôpital Trousseau, Paris.
authors.forename: N
authors.initials: N
authors.lastname: Khouri
authors.forename: P
authors.initials: P
authors.lastname: Ducloyer
authors.forename: H
authors.initials: H
authors.lastname: Carlioz
mesh_terms: D000293:Adolescent; D000842:Ankle / Q000000981:diagnostic imaging; D016512:Ankle Injuries; D002648:Child; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008297:Male; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D014056:Tomography, X-Ray; D014057:Tomography, X-Ray Computed
vernacular_title: Fractures triplanes de la cheville. A propos de 25 cas et revue générale.