title: Triplane fractures of the distal tibia requiring open reduction and internal fixation. Pre-operative planning using computed tomography.
abstract: Computed tomography (CT) of triplane fractures provides useful information not available on conventional radiographs. Knowledge of the size and position of displaced fragments, the location of the intra-articular fracture and any associated articular incongruency is useful when undertaking pre-operative planning.A postal survey of surgeons revealed only 38% always requested CT scans before undertaking open reduction and internal fixation of displaced triplane fractures. Examples of the usefulness of CT scans in pre-operative planning is presented in two cases.
authors.affiliation: Department of Orthopaedics, Sheffield Children's Hospital, Weston Bank, Sheffield S10 2TH, UK.
authors.forename: S
authors.initials: S
authors.lastname: Jones
authors.forename: N
authors.initials: N
authors.lastname: Phillips
authors.forename: F
authors.initials: F
authors.lastname: Ali
authors.forename: J A
authors.initials: JA
authors.lastname: Fernandes
authors.forename: M J
authors.initials: MJ
authors.lastname: Flowers
authors.forename: T W D
authors.initials: TW
authors.lastname: Smith
mesh_terms: D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D010347:Patient Care Planning / Q000458:organization & administration; D011300:Preoperative Care / Q000379:methods; D011364:Professional Practice; D013978:Tibial Fractures / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000706:statistics & numerical data*