{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T10:56:33Z","timestamp":1781175393441,"version":"3.54.1"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2013,4,1]],"date-time":"2013-04-01T00:00:00Z","timestamp":1364774400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2013,4]]},"abstract":"\n Purpose.<\/jats:title>\n To review 28 cases of paediatric triplane fractures of the distal tibia over a 7-year period in a tertiary paediatric hospital.<\/jats:p>\n <\/jats:sec>\n \n Methods.<\/jats:title>\n Records of 21 boys and 7 girls aged 11 to 15 (mean, 13) years presented with triplane fractures of the left (n=14) and right (n=14) ankles were retrospectively reviewed.<\/jats:p>\n <\/jats:sec>\n \n Results.<\/jats:title>\n Injury mechanism included low-energy trauma (n=10) and moderate-energy trauma (n=18). Fractures were 2-part in 20 patients, 3-part in 6, and 4-part in 2. 11 patients had concomitant fibular fractures. Articular displacement was <2 mm in 17 patients and \u22652 mm in 11 patients. 17 patients were treated conservatively (cast immobilisation); 11 were treated surgically by closed reduction and percutaneous pinning (n=1), open reduction and percutaneous pinning (n=5), closed reduction and internal fixation (n=3), or open reduction and internal fixation (n=2). Transepiphyseal partially threaded cannulated screws were used for fixation. The mean period of casting was 5.8 weeks, and the mean non\u2013weight bearing period was 6.1 weeks. The mean follow-up period was 14.2 (range, 9\u201320) weeks. All patients had excellent outcome. No patient had any infections, delayed or non-union. Six patients had decreased range of motion and 4 had pain 4 weeks after cast removal.<\/jats:p>\n <\/jats:sec>\n \n Conclusion.<\/jats:title>\n Treatment outcome of triplane fractures of the distal tibia in children is good when guidelines are closely adhered to.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/230949901302100115","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:13:55Z","timestamp":1475601235000},"page":"55-59","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Triplane Fractures of the Distal Tibia in Children"],"prefix":"10.1177","volume":"21","author":[{"given":"Adrian Chong Beng","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, KK Women's and Children's Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland Weng Wah","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, KK Women's and Children's Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjandas","family":"Mahadev","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, KK Women's and Children's Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,4,1]]},"reference":[{"key":"bibr1-230949901302100115","doi-asserted-by":"publisher","DOI":"10.1007\/s00064-008-1407-7"},{"key":"bibr2-230949901302100115","first-page":"127","volume":"38","author":"Gonc U","year":"2004","journal-title":"Acta Orthop Traumatol Turc"},{"key":"bibr3-230949901302100115","first-page":"111","volume":"138","author":"Hughes JL","year":"1979","journal-title":"Clin Orthop Relat Res"},{"key":"bibr4-230949901302100115","first-page":"357","volume-title":"Drennan's the child's foot and ankle","author":"Herman MJ","year":"2009"},{"key":"bibr5-230949901302100115","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1097\/00003086-198110000-00029","volume":"160","author":"Peiro A","year":"1981","journal-title":"Clin Orthop Relat Res"},{"key":"bibr6-230949901302100115","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200712000-00007"},{"key":"bibr7-230949901302100115","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.183.5.1831489"},{"key":"bibr8-230949901302100115","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e3281568bab"},{"key":"bibr9-230949901302100115","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2007.07.001"},{"key":"bibr10-230949901302100115","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.10.001"},{"key":"bibr11-230949901302100115","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200207000-00012"},{"key":"bibr12-230949901302100115","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2010.2.1.34"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901302100115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901302100115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:18:58Z","timestamp":1777594738000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949901302100115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1177\/230949901302100115"],"URL":"https:\/\/doi.org\/10.1177\/230949901302100115","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4]]}}}