High fibular fracture in association with triplane fracture: reexamining this unique pediatric fracture pattern.

A case of a high fibular fracture in association with a triplane fracture in a 12-year-old boy is presented and this unique fracture pattern examined. Whether from blunt trauma or an external rotation mechanism, it appears that trans-syndesmotic fixation is not needed to satisfactorily repair this injury. Because of the rarity of the condition, there is limited previously published information describing this particular injury, although surgeons should be aware of it and the underlying mechanism of the fracture.