Rapariz J M, Ocete G, González-Herranz P, López-Mondejar J A, Domenech J, Burgos J, Amaya S
Department of Orthopaedic Surgery, Hospital Ramón y Cajal, Alcalá de Henares University, Madrid, Spain.
J Pediatr Orthop. 1996 Jan-Feb;16(1):113-8. doi: 10.1097/00004694-199601000-00023.
The cases of 35 patients in whom a triplane fracture had been treated at the Ramón y Cajal Hospital were reviewed. The diagnosis of biplane and triplane fracture can now be made by standard radiograph. However, plain radiographs alone did not accurately demonstrate the configuration of the fracture, and computed tomography must be performed. Closed reduction should be attempted first. Failure to obtain or maintain (or both) an adequate closed reduction is an indication for operative treatment. Prognosis is surprisingly good. Only when adequate reduction (< 2 mm displacement) has not been achieved can degenerative changes be seen at long-term follow-up (> 5 years).
对拉蒙·伊·卡哈尔医院收治的35例三平面骨折患者的病例进行了回顾。现在通过标准X线片即可诊断双平面和三平面骨折。然而，仅普通X线片不能准确显示骨折的形态，必须进行计算机断层扫描。应首先尝试闭合复位。未能获得或维持（或两者）充分的闭合复位是手术治疗的指征。预后出奇地好。只有在未实现充分复位（移位<2mm）时，长期随访（>5年）才会出现退变改变。
