Research progress in the diagnosis and treatment of transitional fracture of the distal tibia / 中华创伤杂志

ABSTRACT

Transitional fracture of the distal tibia includes triplane fracture and Tillaux fracture and may combine with tibial shaft fracture or proximal fibular fracture. The fracture type is based on the mechanism of ankle injury and closure degree of the distal tibial epiphysis. Delayed or improper treatment may cause premature closure of the epiphysis in transitional fracture of the distal tibia, which may lead to ankle deformity or even disability, so it is necessary to pay attention to timely and correct diagnosis. Three-dimensional CT can show the fracture line of epiphysis of the distal tibia during the transitional period, which can improve the diagnostic rate and facilitate the effective placement for internal fixation. At present, there are various treatment methods for transitional fracture, including closed reduction with plaster fixation, closed or open reduction with percutaneous Kirschner wire or screw fixation, but a general consensus has not been reached. Improper treatment is likely to cause joint dysfunction, osteoarthritis and other adverse consequences. Therefore, the authors review the characteristics, diagnosis and treatment of transitional fracture of the distal tibia, in order to provide a reference for clinical treatment.