Treatment of closed two-part triplane fracture of distal tibial segment using a posterior antiglide plate

Objective: The purpose of this study was to evaluate the clinical and radiological outcomes of the management of triplane fractures of the distal tibial segment by using the posterior antiglide plate. Methods: Fourteen patients (9 male, 5 female; average age 14.2 years; range 12-17 years) who had closed two-part triplane fractures were enrolled. In all cases, the distal metaphyseal fracture of the tibia was reduced, and a plate was placed across the length of the fracture in the buttress (antiglide) mode, according to the shape of the posterior tibial segment that required prebending. The average duration of follow-up was 15.3 (range 12-20) months. Results: At the end of follow-up, all patients had excellent outcomes. They remained asymptomatic without any limitations to the weight-bearing function of the affected side compared to the unaffected contralateral side. Conclusions: The posterior antiglide plate may be a suitable option for the distal tibial fixation in patients with two-part triplane fractures.