What is a triplane fracture?
Triplane Fractures are traumatic ankle fractures seen in children 10-17 years of age characterized by a complex salter harris IV fracture pattern in multiple planes.
How long does it take for a triplane fracture to heal?
Nondisplaced triplane fractures (< 2 mm displacement) and extra-articular fractures can be managed with immobilization in a short leg cast for 4-6 weeks. Serial radiographs are obtained at weekly intervals during the first 3 weeks to check for late displacement.
Is a triplane fracture open or closed?
Triplane ankle fractures are distal tibia physeal fractures that occur in children from 10 to 17 years of age. The physis ossifies in a predictable order, and transitional ankle fractures occur in this period of incomplete physeal closure.
What is a Salter-Harris type 4 fracture?
Salter-Harris type IV fractures are relatively uncommon injuries that occur in children. They are intra-articular injuries in which the fracture extends through the epiphysis, across the physis and through the metaphysis. Salter-Harris fractures are a group childhood injuries where a fracture involves the physis.
What does the word triplane mean?
Definition of triplane
: an airplane with three main supporting surfaces superposed.
What is a right ankle triplane fracture?
Triplane fracture of the ankle is a known injury occurring in adolescents due to asymmetric closure of the distal tibial epiphysis [1]. It is a period of around 12-18 months when the distal tibial physis closure progresses from central to medial and then to the lateral side.
Can you walk on a broken ankle with a boot?
Walking: You may walk on the foot as comfort allows but you may find it easier to walk on your heel in the early stages. The boot you have been given is for your comfort only and is not needed to aid fracture healing but will help to settle your symptoms.
Can you still walk with a broken fibula?
Because the fibula is not a weight-bearing bone, your doctor might allow you walk as the injury recovers. You also might be advised to use crutches, avoiding weight on the leg, until the bone heals because of the fibula’s role in ankle stability.
How do you fix a triplane fracture?
Tibia, Distal—Triplane Fracture—Fracture Fixation – YouTube
Does a Salter-Harris fracture need a cast?
Your child’s injury may need to be put in a cast or splint if a Salter-Harris fracture is known or suspected. This will help prevent more injury to the growth plate and surrounding bone. If the bone is not displaced (moved out of place), your child may get a cast to secure the bone as it heals.
How long does it take for a Salter-Harris fracture to heal?
Healing usually takes about 4-6 weeks, at which time it will be safe for your child to return to sports and activities. It is very rare for a Salter-Harris I fracture to cause problems with the growth of the distal fibula (less than 1% of fractures).
Why did German planes have 3 wings?
First the British, then the Germans believed that three wings would give them a fighter with good pilot visibility, tight maneuverability and a better climb rate.
Are biplanes still made?
WACO Aircraft Corporation currently produces two biplanes; the WACO YMF-5 and the Great Lakes 2T-1A-2. These biplanes are produced by hand – based on original techniques from the 1920’s and 1930’s.
What is the CPT code for open reduction and internal fixation right ankle triplane fracture?
This code range is for open treatment with internal fixation (ORIF). The treatment was of the distal tibia making 27827 the correct code selection. ICD-9-CM code: The diagnosis is stated as a right ankle triplane fracture.
In what area of the body might a Pott’s fracture occur?
Stability of the ankle joint is because of a combination of the bony architecture, ligaments around the joint and the joint capsule. Bony injuries and fractures around the ankle joint are colloquially known as Pott’s fractures. Accurate anatomical reduction of the fracture by closed or open means is very important.
Should I wear my walking boot all day?
If supplied, wear the boot for comfort and use crutches when walking. It is ok to take the boot off at night, when resting at home and to wash.
Is boot better than cast?
The research showed no statistically significant difference in the scores of those using a cast and those using a boot after four months. The results were also the same when comparing those who received surgery and those who didn’t.
Is a fibula fracture serious?
A broken tibia-fibula is a fracture in the lower leg that happens when a fall or blow places more pressure on the bones than they can withstand. A tibia-fibula fracture is a serious injury that requires prompt immediate medical attention.
Is a broken fibula serious?
All fibula breaks are serious and can leave you unable to fully walk, or perform standard daily activities without help, for weeks or months.
What is a toddler fracture?
Toddler fractures occur in young ambulatory children (from 9 months to 3 years). A toddler’s fracture is a spiral or oblique undisplaced fracture of the distal shaft of the tibia with an intact fibula. The periosteum remains intact and the bone is stable. These fractures occur as a result of a twisting injury.
What type of Salter-Harris fracture has worst prognosis?
Growth plate affected. Growth plate disturbances about the knee and the ankle have the worst prognosis.
How long does it take a Salter-Harris fracture to heal?
Do you need a cast for a Salter-Harris fracture?
A cast or splint may be used to help prevent movement in the injured area until more treatment is done. Some Salter-Harris fractures take up to 14 days before they can be seen on an x-ray. Your child’s injury may need to be put in a cast or splint if a Salter-Harris fracture is known or suspected.
Why are biplanes no longer used?
While a biplane wing structure has a structural advantage over a monoplane, it produces more drag than a monoplane wing. Improved structural techniques, better materials and higher speeds made the biplane configuration obsolete for most purposes by the late 1930s.
Did Germany have better planes in ww2?
While the British had also built jets during the period, the German Me 262 was both faster and better armed than the Meteor it fought against. It was also more widely built: 1,430 of the plane were constructed during the war.