El-Karef E, Sadek H I, Nairn D S, Aldam C H, Allen P W
Department of Orthopaedics, Princess Alexandra Hospital, Hamstel Road, Essex, CM20 1QX, Harlow, UK.
Injury. 2000 Nov;31(9):729-36. doi: 10.1016/s0020-1383(00)00086-3.
A prospective study of 21 triplane fractures of the distal tibia is presented. Nineteen cases (90.5%) had lateral triplane fractures, while the other two (9.5%) had medial triplane fractures. Two fragment fractures were encountered in 12 cases (57%); three fragment fractures in six cases (29%), and four fragment fractures in the remaining three cases (14%). Fourteen cases (67%) were managed non-operatively, while in seven cases (33%), open reduction and internal fixation was performed. Twenty patients (95%) were pleased with the final outcome. Objectively, 14 cases (67%) achieved excellent results.
本文对21例胫骨远端三平面骨折进行了前瞻性研究。19例（90.5%）为外侧三平面骨折，另外2例（9.5%）为内侧三平面骨折。12例（57%）为两部分骨折；6例（29%）为三部分骨折，其余3例（14%）为四部分骨折。14例（67%）采用非手术治疗，7例（33%）行切开复位内固定术。20例（95%）对最终结果满意。客观上，14例（67%）取得了优异的结果。
