Chen Song,Chen Fuming,Pang Yuanchen,et al.Title Study on the fracture line of 75 adolescents with triplanar fracture of tibia[J].Journal of Clinical Pediatric Surgery,,20():641-645.[doi:10.12260/lcxewkzz.2021.07.009]
Title Study on the fracture line of 75 adolescents with triplanar fracture of tibia
- Keywords:
- Tibial Fractures; Imaging; Three-Dimensional; Adolescent
- CLC:
- R726.834.23;R445.3
- Abstract:
- Objective To analyze the characteristics of the epiphyseal fracture line of 75 adolescents with triplanar fractures of the distal tibia and reclassify them.Methods From January 2015 to April 2021,75 cases of triplanar fractures of the distal tibia were treated in the Department of Pediatric Orthopedics of our hospital.All patients received positive and lateral X-rays and three-dimensional CT examinations.The age,gender,and epiphysis of the patients were recorded.Characteristics of fracture line.The shin medial malleolus fractures were reclassified on the basis of triplane fracture classification.Results Among 75 triplane fractures,47 were males (62.7%) and 28 were females (37.3%); the age was 10-15 years,with an average of 12.5 years.The fracture lines of the metaphysis are both internal and external,and the fracture lines of the epiphysis have greater variation.There were 56 cases (74.7%) of 2 fractures,and there were 3 types of epiphyseal fracture lines:42 cases (56%) were type Ⅲ triplanar fractures of the medial malleolus; 13 cases (17.3%) had epiphyseal bone fragments running from front to back,in Kump’s The bump area crossed the area outside and turned to the posterior medial side; one case (13.3%) had a type Ⅰ triplanar fracture of the medial malleolus.There were 16 cases (18.6%) of 3 fractures,and there were 3 types of epiphyseal fracture lines:9 cases (12%) of epiphyseal fractures showed "Benz mark"; 3 cases (4%) of epiphyseal fractures and Tillaux fractures The same; 4 cases (5.3%) had 2 fracture lines in the medial malleolus,2 cases (2.7%) had medial malleolus type Ⅰ+type Ⅲ; 2 cases (2.7%) had medial malleolus type Ⅱ+ type Ⅲ fractures (Figure 2D).3 cases (4%) of 4 fractures.Twenty-five cases (33.3%) had fibula fractures,and 1 case (13.3%) had tibial shaft fractures.The fracture line of the tibial shaft was obliquely upward and forward and downward.Three cases (4%) had cartilage exfoliation on the articular surface of the talus.Conclusion In this study,75 cases of triplanar fractures were analyzed by three-dimensional CT to study the fracture lines of the epiphyses.It is the study with the largest number of triplane fractures so far.According to the number of fractures,it can be divided into 2 (3 subtypes),3 (3 subtypes),and 4 fractures.Two of them are the most common.Epiphyseal fractures most often involve the medial malleolus.Be wary of triplane fractures with exfoliation of the talus cartilage and tibial shaft fractures.he purpose of the study.
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Memo
收稿日期:2021-03-22。
基金项目:2019年度福州市科学技术局科技计划项目（编号：2019-SZ-10）；福建省创伤骨科急救与康复临床医学研究中心项目
通讯作者:陈顺有,Email:271005564@qq.com