Valenza Weverley Rubele, Soni Jamil Faissal, Barbosa Jean Carlo, Uliana Christiano Saliba, Matsunaga Carolina Umeta
Hospital do Trabalhador, Curitiba, PR, Brazil.
Acta Ortop Bras. 2021 Nov-Dec;29(6):323-326. doi: 10.1590/1413-785220212906238089.
The aim of this study is to purpose a novel approach to the concomitant triplanar and tibial shaft fracture.
Retrospective study between 2001 and 2019. We collected the patients' general information, clinical and radiographic data, and complications after the following three-step treatment: (1) fixation of the Salter-Harris II fracture of the triplane fracture, (2) fixation of the Salter-Harris II/IV fracture with cannulated screws, and (3) fixation of the tibial fracture with flexible titanium nails.
The study included seven patients (six males) with a mean age of 14 years and a mean follow-up of 6.4 years (minimum two years). Five triplane fractures had two fragments and two had three fragments. Five fractures were classified as Salter-Harris II and two as Salter-Harris IV. Three tibial fractures were long oblique, three were spiral, and one had a third fragment. Six fractures affected the middle third and one affected the distal third of the tibia. All triplane and tibial fractures consolidated without significant displacement. No physeal damage was identified.
This study described the association of tibial fractures with triplane ankle fractures managed by our proposed treatment, which proved to be effective for this fracture association.
本研究旨在提出一种治疗三平面骨折合并胫骨干骨折的新方法。
对2001年至2019年期间的病例进行回顾性研究。我们收集了患者的一般信息、临床和影像学数据，以及经过以下三步治疗后的并发症情况：（1）固定三平面骨折的Salter-Harris II型骨折；（2）用空心螺钉固定Salter-Harris II/IV型骨折；（3）用弹性钛钉固定胫骨干骨折。
该研究纳入了7例患者（6例男性），平均年龄14岁，平均随访6.4年（最短2年）。5例三平面骨折为两部分骨折，2例为三部分骨折。5例骨折为Salter-Harris II型，2例为Salter-Harris IV型。3例胫骨干骨折为长斜形，3例为螺旋形，1例有第三骨折块。6例骨折累及胫骨中1/3，1例累及胫骨远1/3。所有三平面骨折和胫骨干骨折均愈合，无明显移位。未发现骨骺损伤。
本研究描述了采用我们提出的治疗方法处理的三平面踝关节骨折合并胫骨干骨折的情况，该方法被证明对这种骨折组合有效。
