Intramalleolar triplane fractures of the distal tibial epiphysis

Alexander Y. Shin, Mark E. Moran, Dennis R. Wenger

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


The intramalleolar triplane fracture of the distal tibial epiphysis is a relatively rare injury in children. We studied five children with intramalleolar triplane fractures. Four of the five children were competitive athletes. Each child underwent computerized tomography with three-dimensional reconstruction. Delineation of the intramalleolar fracture pattern with computerized tomography with three-dimensional reconstruction demonstrated three distinct types of intramalleolar triplane fractures: I. intraarticular and within the weight-bearing zone, II. intraarticular and outside the weight-bearing zone, and III, extraarticular. Computerized tomography with three-dimensional reconstruction delineated the fracture pattern and allowed selection of the optimal treatment method. A classification scheme of the three types of intramalleolar triplane fracture is proposed.

Original languageEnglish (US)
Pages (from-to)352-355
Number of pages4
JournalJournal of Pediatric Orthopaedics
Issue number3
StatePublished - Jan 1 1997


  • Intramalleolar
  • Pediatric
  • Surgery
  • Triplane

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine


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