Cooperman D R, Spiegel P G, Laros G S
J Bone Joint Surg Am. 1978 Dec;60(8):1040-6.
Triplane fractures of the distal end of the tibia in fifteen children (average age, thirteen years) represented 6 per cent of 237 consecutive epiphyseal fractures of the ankle. Thirteen children were treated by closed methods (including manipulation) and two had open reduction of the fractures. At an average of twenty-six months after injury, three of fourteen patients showed roentgenographic evidence of premature symmetrical epiphyseal closure with less than 0.5 centimeter of shortening and no angular deformity. Of twelve children examined clinically, three had a 5 to 10-degree external rotation deformity and one patient also had an articular incongruity due to inadequate reduction. In the five cases in which tomograms were used to the medial malleolus, and the anteromedial part of the epiphysis. The lateral fragment included the remainder of the epiphysis together with a piece of posterior metaphysis with attached fibula.
15名儿童（平均年龄13岁）的胫骨远端三平面骨折占连续237例踝关节骨骺骨折的6%。13名儿童采用闭合方法（包括手法复位）治疗，2名儿童进行了骨折切开复位。受伤后平均26个月，14名患者中有3名X线片显示过早对称性骨骺闭合，缩短小于0.5厘米，无角畸形。在临床检查的12名儿童中，3名有5至10度的外旋畸形，1名患者因复位不充分还存在关节不匹配。在5例使用断层扫描的病例中，内踝和骨骺的前内侧部分。外侧骨折块包括骨骺的其余部分以及一块附着腓骨的后干骺端。
