How do you reduce a triplane fracture?
How do you reduce a triplane fracture?
Avoid more than two attempts at realignment: Each attempt causes additional trauma and bleeding and, possibly, further injury to the distal tibial growth plate. Closed reduction resulting in adequate fracture reduction in all planes is obtained in approximately 30-50% of triplane fractures.
Is a triplane fracture open or closed?
Tillaux fractures and triplane fractures are the most common ankle joint fractures in adolescents with closure of the epiphyseal plate according to the mechanism of injury.
What is a triplane fracture?
Triplane Fractures are traumatic ankle fractures seen in children 10-17 years of age characterized by a complex salter harris IV fracture pattern in multiple planes.
What is a triplane tibia fracture?
A triplane fracture of the distal tibia is generally sustained during adolescence and occurs before complete closure of the distal tibial physis (growth plate). It represents 5-10% of pediatric intra-articular ankle injuries and typically presents in children aged 12-15 years.
What is a right ankle triplane fracture?
Triplane fracture of the ankle is a known injury occurring in adolescents due to asymmetric closure of the distal tibial epiphysis [1]. It is a period of around 12-18 months when the distal tibial physis closure progresses from central to medial and then to the lateral side.
What is the meaning of triplane?
Definition of triplane : an airplane with three main supporting surfaces superposed.
What is a Bimalleolar fracture?
“Bimalleolar” means that two of the three parts or malleoli of the ankle are broken. (Malleoli is plural for malleolus.) In most cases of bimalleolar fracture, the lateral malleolus and the medial malleolus are broken and the ankle is not stable.
Why are pilon fractures so bad?
In many pilon fractures, a high-energy impact causes the injury. Because of the strong impact that causes this fracture, many people with pilon fractures have additional injuries. Healthcare providers classify pilon fractures according to their severity.
Can you walk with a pilon fracture?
Walking aids: Your healthcare team may have you use a walking aid such as crutches to avoid bearing weight on your affected leg. You may have to use the walking aid for up to three months or until your pilon fracture is fully healed.
What was a biplane used for?
Biplanes predominated in military and commercial aviation from World War I through the early 1930s, but the biplane’s greater maneuverability could not offset the speed advantage of the lighter monoplane. After World War II, biplanes were used only for special purposes: crop dusting and sport (aerobatic) flying.
When to use surgical fixation for a triplane fracture?
Surgical fixation of a triplane fracture should be undertaken if the residual fracture gap is 2 mm or greater after attempted closed reduction and casting. A successful closed reduction can be predicted in displacements greater than 3 mm secondary to energy of the injury, soft-tissue interposition at the fracture site, and swelling.
How old do you have to be to have a triplane fracture?
Triplane Fractures are traumatic ankle fractures seen in children 10-17 years of age characterized by a complex salter harris IV fracture pattern in multiple planes. Diagnosis can be made with plain radiographs of the ankle. CT scan may be required to further characterize the fracture pattern and for surgical planning.
How long does a triplane fracture take to heal?
Nondisplaced triplane fractures (< 2 mm displacement) and extra-articular fractures can be managed with immobilization in a short leg cast for 4-6 weeks. Serial radiographs are obtained at weekly intervals during the first 3 weeks to check for late displacement.
What causes a triplane fracture in the distal tibia?
In distal tibia, the triplane fracture occurs due to the asymmetrical closure of the distal tibial physis, from central to anteromedial to posteromedial and finishing with closure of the lateral margin of the physis 7). Without an x-ray, it is often difficult to differentiate between an ankle sprain and a more serious ankle fracture.
