• J Orthop Surg (Hong Kong) · Dec 2011

    Case Reports

    Ipsilateral tibial shaft fracture and distal tibial triplane fracture with an intact fibula: a case report.

    • Walter B Sprenger De Rover, Sulaiman Alazzawi, Peter J Hallam, and Neil P Walton.
    • Department of Radiology, Nottingham University Hospitals NHS Trust, City Hospital campus, United Kingdom.
    • J Orthop Surg (Hong Kong). 2011 Dec 1; 19 (3): 364-6.

    AbstractWe present a case of an ipsilateral tibial shaft fracture and a distal tibial triplane fracture with an intact fibula in a 14-year-old boy. Computed tomography revealed the distal tibial triplane fracture with a 2.6-mm displaced Tillaux fragment and a posterior malleolar shear fragment. Open reduction and internal fixation was performed to optimise healing and outcome. This is a rare injury, for which a high index of suspicion is needed for diagnosis. Missing the intra-articular distal tibial triplane fracture could result in a disabling angular deformity (mostly varus) or limb-length discrepancy secondary to premature partial closure of the distal physis.

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