Pediatric Triplane Ankle Fractures: Impact of Radiographs and Computed Tomography on Fracture Classification and Treatment Planning by Emily A. Eismann,

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Presentation transcript:

Pediatric Triplane Ankle Fractures: Impact of Radiographs and Computed Tomography on Fracture Classification and Treatment Planning by Emily A. Eismann, Zachary A. Stephan, Charles T. Mehlman, Jaime Denning, Tracey Mehlman, Shital N. Parikh, Junichi Tamai, and Andrew Zbojniewicz J Bone Joint Surg Am Volume 97(12): June 17, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.

The triplane fracture classification system proposed by Rapariz et al.8. Emily A. Eismann et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.

For each case, raters were asked to draw all fracture lines on these illustrations of the lateral view (Fig. 2-A), mortise view (Fig. 2-B), and axial view of the distal part of the tibia above the physis (Fig. 2-C) and below the physis (Fig. 2-D). Emily A. Eismann et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.

Example of a fifteen-year-old boy with a triplane fracture classified by raters as a three-fragment Marmor fracture with use of anteroposterior (Fig. 3-A) and lateral (Fig. 3-B) radiographs and as a four-fragment Kärrholm fracture with use of CT with corona... Emily A. Eismann et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.