Acta Ortopédica Mexicana

Cuzmar-Grimalt D, Escudero-Heldt M, Aldunate-González JT, Plaza-Guzmán N
Ankle fracture in adolescents: triplanar injury associated to fracture of leg
Acta Ortop Mex 2016; 30 (3)

Language: Español
References: 5
Page: 144-146
PDF: 241.61 Kb.

[Fulltext - PDF]


Introduction: the vast mayority of epiphyseal children fractures could be classified according to Salter Harris. There are other types of patterns such as triplanar and Tillaux fractures. The former is a complex type with fracture lines in sagital, axial and frontal planes. These fractures have main complications such as early epiphyseal closure, mechanical axis malalignment and gait disturbances. A clinical case is pictured which had a tibial shaft and ipsilateral triplanar fracture, this complex scenario of rare ocurrence was treated with reduction and osteosynthesis of both fractures. This clinical case is shown to help in the management of these injuries that with the early sport practice initiation, could appear more frequently.

Key words: Ankle, fracture, triplanar, osteosynthesis, trauma.


  1. Dias LS, Giegerich CR: Fractures of the distal tibial epiphysis in adolescence. J Bone Joint Surg Am. 1983; 65(4): 438-44.

  2. Kärrholm J: The triplane fracture: four years of follow-up of 21 cases and review of the literature. J Pediatr Orthop B. 1997; 6(2): 91-102.

  3. Ertl JP, Barrack RL, Alexander AH, VanBuecken K: Triplane fracture of the distal tibial epiphysis. Long-term follow-up. J Bone Joint Surg Am. 1988; 70(7): 967-76.

  4. Kling TF Jr: Operative treatment of ankle fractures in children. Orthop Clin North Am. 1990; 21(2): 381-92.

  5. Schnetzler KA, Hoernschemeyer D: The pediatric triplane ankle fracture. J Am Acad Orthop Surg. 2007; 15(12): 738-47.