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

S Jones, N Phillips, F Ali, J A Fernandes, M J Flowers, T W D Smith
Injury 2003, 34 (4): 293-8
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.

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