Ertl J P, Barrack R L, Alexander A H, VanBuecken K
Department of Orthopaedic Surgery, Naval Hospital, Oakland, California 94627-5000.
J Bone Joint Surg Am. 1988 Aug;70(7):967-76.
The cases of twenty-three patients in whom a triplane fracture had been treated at the Naval Hospital, Oakland, California, between 1974 and 1985, were reviewed. The anatomical configuration of the fracture was confirmed in fifteen patients. Eleven of the fifteen patients had a three-fragment fracture. Plain radiographs alone did not accurately demonstrate the configuration of the fracture. Twenty patients were asymptomatic when they were evaluated eighteen to thirty-six months after the injury, but only eight of fifteen patients were asymptomatic when they were evaluated thirty-eight months to thirteen years after the fracture. Residual displacement of two millimeters or more after reduction was associated with a less than optimum result unless the epiphyseal fracture was outside the primary weight-bearing area of the ankle.
回顾了1974年至1985年间在加利福尼亚州奥克兰海军医院接受治疗的23例三平面骨折患者的病例。15例患者的骨折解剖结构得到确认。这15例患者中有11例为三碎片骨折。仅通过普通X线片不能准确显示骨折的形态。20例患者在受伤后18至36个月接受评估时无症状，但在骨折后38个月至13年接受评估时，15例患者中只有8例无症状。复位后残留移位2毫米或更多与结果欠佳相关，除非骨骺骨折位于踝关节主要负重区域之外。
