• Timothy S Holland, Christopher P Prior, and Roger Dm Walton.
• Alder Hey Children's Hospital, Liverpool, United Kingdom. Electronic address: timholland@doctors.org.uk.
• Surg J R Coll Surg E. 2018 Dec 1; 16 (6): 333-338.

Background & PurposeDistal tibial Triplane fracture with ipsilateral tibial shaft fracture is a rare but important problem. This rarely reported combination of injuries if not recognised may lead to deleterious consequences.Methods/PatientsThe local database of all emergency admissions was scrutinised to identify subjects before interrogation of the clinical notes and relevant radiographic imaging.FindingsThis paper reports a series of five children who were found to have triplane fracture of the distal tibia with concomitant ipsilateral fracture of the tibial shaft.ConclusionsWe suggest that a high index of suspicion for concomitant fractures should be maintained in the presence of either triplane fracture of the distal tibia or tibial shaft fractures in the peri-adolescent child. Minimum appropriate imaging should include orthogonal full length plain radiographs of the tibia as well as formal ankle radiographs.Copyright © 2018 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

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