• 제목/요약/키워드: Distal tibial epiphyseal fracture

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족관절 내과를 침범한 두 부분 삼면 골절(4예 보고) (Two Part Triplane Fracture with Extention through Medial Malleolus (Four Cases Report))

  • 차승도;김형수;정수태;유정현;박재형;김주학;김용훈
    • 대한족부족관절학회지
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    • 제13권2호
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    • pp.179-183
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    • 2009
  • The triplane fracture has been described as a fracture of the distal tibial epiphysis occurring across three planes-sagittal, transverse and coronal. The characteristic pattern of fusion of distal tibial epiphysis explains the special configuration of the fragments in the triplane fracture. According to Dias-Tachdjian classification, triplane fracture is classified two part fracture, three part fracture, four part fracture and two part fracture with extension to the medial malleolus. Among four types, two part triplane fracture with extension to the medial malleolus is a relatively rare injury and generally is not treated by closed reduction. Such fractures should have an anatomic reduction and adequate fixation to restore the joint congruity and obtain an anatomic reduction of the growth plate to prevent a future growth deformity. This is usually best accomplished with an open reduction and screw fixation or k-wire fixation. We experienced two part triplane fracture with extension to medial malleolus and check the CT to define the extent of the injury completely. And then we underwent open reduction and screw fixation for the fracture. As a result, we present four cases of two part triplane fracture with extension with review of related literatures.

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족관절 삼과 골절과 동반된 청소년기 Tillaux 골절 (Tillaux Fracture in an Adolescent with a Trimalleolar Ankle Fracture)

  • 박석균;채수욱
    • Journal of Trauma and Injury
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    • 제28권4호
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    • pp.280-283
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    • 2015
  • The adolescent Tillaux fracture is an avulsion fracture of the anterolateral corner of the distal tibial epiphysis caused by external rotation of the foot. This type of fracture occurs during epiphyseal fusion in adolescence. A difficult to detect Tillaux fracture was discovered on a preoperative radiograph, such fractures have rarely been reported to accompany a predominantly adult-type ankle fracture. Especially, to the best of our knowledge, no case of a trimalleolar ankle fracture in an adolescent with a Tillaux fracture has been reported. Thus, we present a case of a trimalleolar ankle fracture in a 15-year-old adolescent with a Tillaux fracture who was successfully treated surgically.

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