Proximal Triplane Tibial Fracture in a 6-Year-Old Girl

##plugins.themes.bootstrap3.article.main##

Proximal tibial fractures are very rare. Our case is about a six-year-old girl presented with proximal tibial triplane fracture associated with proximal and distal fibula and distal tibial fractures, as a result of a fall of a cement wall on her right knee. A radiograph and computerized tomography (CT) scan were reported as Salter-Harris type III fracture. She was treated by an open reduction and internal fixation by a screw and Kirschner wires. She was followed up for 12 months and showed an excellent knee outcome and her knee range of motion was 10-130o. Anatomical reduction and stable fixation are necessary to prevent future pain, deformity and arthritis. The case demonstrates the efficacy of using an open reduction and internal fixation by a screw and Kirschner wires in treating children with triplane proximal tibial fracture.  This type of fracture is not frequently seen and a right diagnosis leads to better management, which could prevent future complications

  1. Vrettakos A. N., Evaggelidis D. C., Kyrkos M. J., Tsatsos A. V., Nenopoulos A., Beslikas T. Lower limb deformity following proximal tibia physeal injury: long-term follow-up. Journal of Orthopaedics and Traumatology. 2012;13(1):7-11.
    DOI
     Google Scholar 
  2. Caillon, F., Rigault, P., Padovani, J. P., Janklevicz, P., Langlais, J. Les traumatismes de l'extrémité supérieure du tibia chez l'enfant: a l'exclusion des fractures des épines tibiales. Chirurgie pédiatrique (Paris), 31(6) (1990), 322-332.
     Google Scholar 
  3. Little, R. M., & Milewski, M. D. Physeal fractures about the knee. Current reviews in musculoskeletal medicine, 9(4) (2016), 478-486.
    DOI
     Google Scholar 
  4. Jawetz, S. T., Shah, P. H., & Potter, H. G. Imaging of physeal injury: overuse. Sports Health, 7(2) (2015), 142-153.
    DOI
     Google Scholar 
  5. Dabash, S., Prabhakar, G., Potter, E., Thabet, A. M., Abdelgawad, A., & Heinrich, S. Management of growth arrest: Current practice and future directions. Journal of clinical orthopaedics and trauma, 9 (2018), S58-S66.
    DOI
     Google Scholar 
  6. Haines, R. W. The histology of epiphyseal union in mammals. Journal of anatomy, 120(Pt 1) (1975), 1.
     Google Scholar 
  7. Othman, Y., Hassini, L., Fekih, A., Aloui, I., & Abid, A. Uncommon Floating Knee in a Teenager: A Case Report of Ipsilateral Physeal Fractures in Distal Femur and Proximal Tibia. Journal of orthopaedic case reports, 7(2) (2017), 90.
     Google Scholar 
  8. Dvonch, V. M., & Bunch, W. H. Pattern of closure of the proximal femoral and tibial epiphyses in man. Journal of pediatric orthopedics, 3(4) (1983), 498-501.
    DOI
     Google Scholar 
  9. Pane D. N., Fikri M. E. L., Ritonga H. M. Epiphyseal Growth Plate Fracture. Journal of Chemical Information and Modeling. 2018;53. 462–469
     Google Scholar 
  10. Gautier, E., Ziran, B. H., Egger, B., Slongo, T., & Jakob, R. P. Growth disturbances after injuries of the proximal tibial epiphysis. Archives of Orthopaedic and Trauma Surgery, 118(1-2) (1998), 37-41.
    DOI
     Google Scholar 

Downloads

Download data is not yet available.

How to Cite

AlShaqsi, Z., Alhabsi, S., Alnaabi, Y., & Almufargi, Y. (2021). Proximal Triplane Tibial Fracture in a 6-Year-Old Girl. European Journal of Medical and Health Sciences, 3(1), 38–40. https://doi.org/10.24018/ejmed.2021.3.1.701