Triplane fractures of the distal tibia requiring open reduction and internal fixation. Pre-operative planning using computed tomography

Injury. 2003 May;34(4):293-8. doi: 10.1016/s0020-1383(02)00099-2.

Abstract

Computed tomography (CT) of triplane fractures provides useful information not available on conventional radiographs. Knowledge of the size and position of displaced fragments, the location of the intra-articular fracture and any associated articular incongruency is useful when undertaking pre-operative planning.A postal survey of surgeons revealed only 38% always requested CT scans before undertaking open reduction and internal fixation of displaced triplane fractures. Examples of the usefulness of CT scans in pre-operative planning is presented in two cases.

MeSH terms

  • Fracture Fixation, Internal / methods
  • Humans
  • Patient Care Planning / organization & administration
  • Preoperative Care / methods
  • Professional Practice
  • Tibial Fractures / diagnostic imaging*
  • Tibial Fractures / surgery
  • Tomography, X-Ray Computed / statistics & numerical data*