Abt & Hurwitz 2007
Triplane fractures of the distal tibia are generally sustained during adolescence and occur before complete closure of the distal tibial physis (growth plate). Incomplete closure of the tibial growth plate, as well as the stress forces applied during injury, are responsible for the unique occurrence of this...
- name derives from the fact that the fracture exists in the frontal, lateral, and transverse planes;
- fracture tends to occur in older children and young adolescents during an 18 month window, prior to physeal closure;
- lateral portion of epiphysis is the last to close leaving it vulnerable to injury;
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