scholarly journals Ipsilateral Tibial Shaft Fracture and Distal Tibial Triplane Fracture with an Intact Fibula: A Case Report

2011 ◽  
Vol 19 (3) ◽  
pp. 364-366 ◽  
Author(s):  
Walter B Sprenger De Rover ◽  
Sulaiman Alazzawi ◽  
Peter J Hallam ◽  
Neil P Walton
Keyword(s):  
Computed Tomography ◽  
Limb Length Discrepancy ◽  
Shaft Fracture ◽  
Angular Deformity ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Rare Injury ◽  
Partial Closure ◽  
Triplane Fracture ◽  
High Index Of Suspicion

We 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.

scholarly journals Proximal peroneal artery traumatic pseudoaneurysm following a compound proximal tibial shaft fracture managed with an external fixator: A case report

2019 ◽  
Vol 27 (1) ◽  
pp. 89-92
Author(s):  
Malinda Rasith Ileperuma ◽  
Badra Hewavithana
Keyword(s):  
External Fixator ◽  
Rare Complication ◽  
Shaft Fracture ◽  
Sudden Onset ◽  
Peroneal Artery ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Artery Pseudoaneurysm ◽  
Initial Injury ◽  
High Index Of Suspicion

A case of post-traumatic proximal peroneal artery pseudoaneurysm following a proximal tibial shaft fracture, complicated by acute compartment syndrome, fixed using an external fixator, in a 22-year-old female is presented. She was investigated for sudden-onset bleeding from the external fixator pin site, 6 weeks after the initial injury, was anaemic and diagnosed with a pseudoaneurysm at lower limb angiography. Contrast leak from the site of pseudoaneurysm was noted and open surgery with ligation of the pseudoaneurysm was performed. This rare complication of a proximal tibial shaft fracture has to be considered in patients presenting with acute bleeding from the surgical site or from pin sites after a significant lag period and requires a high index of suspicion.

scholarly journals Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Dillon C. O’Neill ◽  
Graham J. Dekeyser ◽  
Alexander J. Mortensen ◽  
Christopher A. Makarewich
Keyword(s):  
External Fixation ◽  
Shaft Fracture ◽  
Fat Embolism ◽  
Adolescent Male ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Fat Embolism Syndrome ◽  
Football Game ◽  
Embolism Syndrome ◽  
High Index Of Suspicion

Case. An adolescent male developed fat embolism syndrome 24 hours after sustaining a closed right tibial shaft fracture in a football game. The patient was treated with emergent external fixator application due to declining respiratory and mental status and experienced swift recovery after stabilization. He was treated with an intramedullary nail within 1 week of injury. Conclusion. Pediatric fat embolism syndrome is uncommon, and a high index of suspicion is required to facilitate appropriate orthopaedic involvement. External fixation can be performed emergently with minimal fracture manipulation. Rapid provisional fixation appears to have facilitated recovery in this example.

Distal tibial triplane fracture with ipsilateral tibial shaft fracture: A case series

The Surgeon ◽  
2018 ◽  
Vol 16 (6) ◽  
pp. 333-338
Author(s):  
Timothy S. Holland ◽  
Christopher P. Prior ◽  
Roger DM. Walton
Keyword(s):  
Case Series ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Triplane Fracture

scholarly journals Management of Adolescent Three-Part Lateral Triplane Ankle Fracture with Ipsilateral Shaft of Tibia Fracture and Intact Fibula in COVID Pandemic: A Case Report with Review of Literature

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Shivanshu Mittal ◽  
Atul Prakash ◽  
Vivek Kumar David ◽  
Somit Sarkar
Keyword(s):  
Case Report ◽  
Ankle Fracture ◽  
Weight Bearing ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Age Group ◽  
Tibial Shaft ◽  
Triplane Fracture ◽  
Pediatric Orthopedic ◽  
The Right

Introduction: Triplane fracture of ankle is a rare adolescent injury. Its association with ipsilateral tibial shaft fracture is very uncommon in pediatric orthopedic traumatology and rarely reported in the literature till date. Timely diagnosis and management is required to optimize the outcome and avoid complications. Case Report: This is a case of a 14-year-old male who sustained a twisting injury to his right leg during early phase of COVID-19 pandemic. He sustained a three-part lateral triplane fracture of the ankle with a concomitant displaced spiral fracture of the shaft of the right tibia. He underwent close reduction under fluoroscopy and above-knee casting for 10 weeks followed patellar tendon weight-bearing cast for 4 weeks. Both fractures healed uneventfully in 14 weeks with patient returning to full activities in 22 weeks. Conclusion: The ankle injury in adolescent age group (12–15 years) can easily be missed in the presence of the more obvious tibial fracture and therefore, we recommend ankle assessment of all patients with tibial shaft fractures in this age group both clinically and radiologically. Keywords: Triplane ankle fracture, tibia shaft fracture, adolescent.

Clamp external fixator for IIIb open tibial shaft fracture

1999 ◽  
Vol 12 (3) ◽  
pp. 557
Author(s):  
Jeung Tak Suh ◽  
Byung Guk Park ◽  
Chong Il Yoo
Keyword(s):  
External Fixator ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft

scholarly journals TREATMENT OF TRIPLANE FRACTURE ANKLE FRACTURES ASSOCIATED WITH IPSILATERAL TIBIAL FRACTURES USING A NOVEL APPROACH

2021 ◽  
Vol 29 (6) ◽  
pp. 323-326
Author(s):  
WEVERLEY RUBELE VALENZA ◽  
JAMIL FAISSAL SONI ◽  
JEAN CARLO BARBOSA ◽  
CHRISTIANO SALIBA ULIANA ◽  
CAROLINA UMETA MATSUNAGA
Keyword(s):  
Case Series ◽  
Shaft Fracture ◽  
General Information ◽  
Tibial Fractures ◽  
Ankle Fractures ◽  
Tibial Shaft Fracture ◽  
Level Of Evidence ◽  
Novel Approach ◽  
Triplane Fracture ◽  
Salter Harris

ABSTRACT Objective: The aim of this study is to purpose a novel approach to the concomitant triplanar and tibial shaft fracture. Methods: Retrospective study between 2001 and 2019. We collected the patients’ general information, clinical and radiographic data, and complications after the following three-step treatment: (1) fixation of the Salter-Harris II fracture of the triplane fracture, (2) fixation of the Salter-Harris II/IV fracture with cannulated screws, and (3) fixation of the tibial fracture with flexible titanium nails. Results: The study included seven patients (six males) with a mean age of 14 years and a mean follow-up of 6.4 years (minimum two years). Five triplane fractures had two fragments and two had three fragments. Five fractures were classified as Salter-Harris II and two as Salter-Harris IV. Three tibial fractures were long oblique, three were spiral, and one had a third fragment. Six fractures affected the middle third and one affected the distal third of the tibia. All triplane and tibial fractures consolidated without significant displacement. No physeal damage was identified. Conclusions: This study described the association of tibial fractures with triplane ankle fractures managed by our proposed treatment, which proved to be effective for this fracture association. Level of Evidence IV, Case Series.

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