Triplane Fracture of the Distal Femur: A Case Report
Triplane Fracture of the Distal Femur: A Case Report
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DOI：
10.1097/bpo.0b013e318221096b
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发表时间：
2011-07-01
影响因子：
1.7
通讯作者：
Allende, Victoria
中科院分区：
文献类型：
--
作者：
Javier Masquijo, Julio;Allende, Victoria
简介：三平面骨折是发生在胫骨远端和近端、肱骨远端、桡骨远端和手部的损伤。然而，在股骨远端没有报道。本研究的目的是记录一种不寻常的骨折模式，并就评估和处理此类损伤的儿童提出建议。方法：报告一例罕见的13岁男孩股骨远端三面骨折。这种类型的损伤包括骨骺的横向骨折（Salter-Harris I型）和骨骺的冠状和矢状关节内骨折（Salter-Harris III型）。讨论：据我们所知，这种模式在以前的英国文献中没有描述过。作者讨论了这种独特骨折的评估和治疗。提出了一种三步还原法。
Introduction: Triplane fractures are well-documented injuries occurring in the distal and proximal tibia, distal humerus, distal radius, and the hand. However, there are no reports in the distal femur. The aim of this study was to document an unusual fracture pattern, and to make recommendations about the evaluation and management of children with such injuries.Methods: A rare case of distal femoral triplane fracture in a 13-year-old boy is reported. This type of injury consists of a transverse fracture of the physis (Salter-Harris I), and a coronal and sagittal intra-articular fracture of the epiphysis (Salter-Harris III).Discussion: To our knowledge, this pattern was not described before in the English literature. Authors discuss the assessment and management of this unique fracture. A 3-step sequence of reduction is proposed.