EXTRAARTICULAR TRIPLANE FRACTURE OF THE DISTAL TIBIAL EPIPHYSIS

We describe an extra-articular triplane fracture of the distal tibia i n the skeletally immature patient. This variant of the triplane fractu re has been largely ignored in the literature. The clinical significan ce of recognizing this fracture is that, although it constitutes an ep iphyseal fracture, it remains extra-articular. Unlike the standard tri plane fracture that exits through the tibiotalar joint, this variant c an be treated acceptably with less than an anatomical reduction, there fore often avoiding the need for surgical management.