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Concomitant Tibia Shaft And Triplane Fracture in Adolescents: A Case Series with Comprehensive Review of Literature

Volume 8 | Issue 2 | May-August 2022 | Page: 11-15 | K Venkatadass, V Durga Prasad, Deepak Jain, S Rajasekaran

DOI- https://doi.org/10.13107/ijpo.2022.v08i02.138

Authors: K Venkatadass MS Orth [1], V Durga Prasad D Orth [1], Deepak Jain MS Orth [1], S Rajasekaran MS Orth [1]

[1] Department of Orthopaedics & Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.

Address of Correspondence
Dr. K Venkatadass,
Consultant & Head of Paediatric Orthopaedics, Department of Orthopaedics & Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.
E-mail: venkatpedortho@gmail.com


Concomitant tibia shaft and ipsilateral triplane fracture in the paediatric population is a known but uncommon presentation. After the first report in 2001, approximately 27 cases have been reported to date. We aimed to do a comprehensive literature review and to present our experience with these rare fractures. We report three such cases of distal-third spiral tibial fractures with three-part triplane fracture. The average age was 15.3 years. The average Body mass index was 31.3 kg/m2. Two patients underwent rigid intramedullary locking nail for shaft fractures, and one patient underwent Ender’s nailing. All triplane fractures were fixed with percutaneous screws. There were no intraoperative or postoperative complications. The average union time was 10.6 weeks. We highlight the patient and injury characteristics in these fractures. A high index of suspicion of an associated ankle fracture is needed in obese adolescents presenting with distal-third tibia fractures. Tibia fractures demand rigid internal fixation whenever possible due to associated obesity.
Keywords: Concomitant, Ipsilateral, Triplane, Tibia, Shaft, Ankle Fracture, Obesity


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How to Cite this Article: K Venkatadass, V Durga Prasad, Jain D, S Rajasekaran | Concomitant Tibia Shaft And Triplane Fracture in Adolescents: A Case Series With Comprehensive Review Of Literature | International Journal of Paediatric Orthopaedics | May-August 2022; 8(2): 11-15.

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