Masquijo Julio Javier, Allende Victoria
Department of Pediatric Orthopaedics Sanatorio Allende, Córdoba, Argentina.
J Pediatr Orthop. 2011 Jul-Aug;31(5):e60-3. doi: 10.1097/BPO.0b013e318221096b.
Triplane fractures are well-documented injuries occurring in the distal and proximal tibia, distal humerus, distal radius, and the hand. However, there are no reports in the distal femur. The aim of this study was to document an unusual fracture pattern, and to make recommendations about the evaluation and management of children with such injuries.
A rare case of distal femoral triplane fracture in a 13-year-old boy is reported. This type of injury consists of a transverse fracture of the physis (Salter-Harris I), and a coronal and sagittal intra-articular fracture of the epiphysis (Salter-Harris III).
To our knowledge, this pattern was not described before in the English literature. Authors discuss the assessment and management of this unique fracture. A 3-step sequence of reduction is proposed.
三平面骨折是一种在胫骨远端和近端、肱骨远端、桡骨远端以及手部均有文献记载的损伤。然而，股骨远端尚无相关报道。本研究旨在记录一种不寻常的骨折类型，并对患有此类损伤的儿童的评估和治疗提出建议。
报告了一名13岁男孩罕见的股骨远端三平面骨折病例。这种损伤类型包括骨骺的横行骨折（Salter-Harris I型）以及骨骺的冠状面和矢状面关节内骨折（Salter-Harris III型）。
据我们所知，这种骨折类型在英文文献中此前未曾被描述过。作者讨论了这种独特骨折的评估和治疗。提出了三步复位顺序。
