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  • Title: [Triplane fractures of the tibia. Apropos of 25 cases and general review].
    Author: Khouri N, Ducloyer P, Carlioz H.
    Journal: Rev Chir Orthop Reparatrice Appar Mot; 1989; 75(6):394-404. PubMed ID: 2512595.
    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.
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