Fractures of the distal tibial epiphysis in adolescence.

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Abstract
The cases of 9 adolescent patients with a Salter-Harris Type-III fracture of the lateral portion of the distal tibial epiphysis (sometimes called the juvenile Tillaux fracture) and 8 patients with a triplane fracture of the distal tibial epiphysis were reviewed. The mechanism of both injuries was postulated to be external rotation of the foot on the leg. There were both 2-fragment and 3-fragment triplane fractures in the series. The 3-fragment triplane fractures occurred in younger patients, and surgical treatment was more frequently administered. The pattern of closure of the distal tibial growth plate in the adolescent strongly influenced the type of fracture.

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