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

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

  •   Ziyad AlShaqsi

  •   Sara Alhabsi

  •   Yumna Alnaabi

  •   Yaqoub Almufargi

Abstract

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


Keywords: child, proximal tibia, Salter-Harris, tibial fracture, triplane

References

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.

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.

Little, R. M., & Milewski, M. D. Physeal fractures about the knee. Current reviews in musculoskeletal medicine, 9(4) (2016), 478-486.

Jawetz, S. T., Shah, P. H., & Potter, H. G. Imaging of physeal injury: overuse. Sports Health, 7(2) (2015), 142-153.

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.

Haines, R. W. The histology of epiphyseal union in mammals. Journal of anatomy, 120(Pt 1) (1975), 1.

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.

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.

Pane D. N., Fikri M. E. L., Ritonga H. M. Epiphyseal Growth Plate Fracture. Journal of Chemical Information and Modeling. 2018;53. 462–469

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.

Downloads

Download data is not yet available.

##plugins.themes.bootstrap3.article.details##

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