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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/56929
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dc.creatorRobinson Esteves Santos Pirespt_BR
dc.creatorP. J. Labronicipt_BR
dc.creatorM. V. Francopt_BR
dc.creatorR. Freitaspt_BR
dc.creatorG. C. Araújopt_BR
dc.creatorR. S. Pires e Albuquerquept_BR
dc.creatorV. S. Gameiropt_BR
dc.creatorK. Jeraypt_BR
dc.date.accessioned2023-07-24T22:26:01Z-
dc.date.available2023-07-24T22:26:01Z-
dc.date.issued2017-
dc.citation.volume6pt_BR
dc.citation.issue5pt_BR
dc.citation.spage308pt_BR
dc.citation.epage310pt_BR
dc.identifier.doi10.4103/amhsr.amhsr_41_16pt_BR
dc.identifier.issn21419248pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/56929-
dc.description.resumoBackground: Medial malleolar fractures are frequent, and their treatment is familiar to the orthopedic surgeon. Lag screw fixation using partially threaded screws remains the standard treatment method for medial malleolar fractures. However, the literature lacks a defined method for selecting lag screw length, relying more so on the empiric choice of the surgeon. Aim: The aim of this study is to help define the ideal lag screw length for medial melleolar fracture fixation. Materials and Methods: One hundred and sixteen anatomic specimens were included in the study. A transverse cut was performed in the distal third of the tibia, roughly 1 and a half times the distal tibial plafond width from the ankle joint. A coronal cut was then performed using the center of the medial malleolus. Three observers measured the distance between the medial malleolus tip and beginning of the medullary canal in all anatomic specimens. Differences in measurements were statistically compared, level of (P ≤ 0.05). Interclass correlation coefficient (ICC) significance level was set at P < 0.05.Results: Measurement average was 55 mm between the medial malleolus tip and the medullary canal, with a standard deviation of 10 mm. High concordance (ICC: 0.819) was achieved among all pairs of observers (P < 0.01). The systematic difference among measurements was absent, and random distribution around general measurements was observed. Conclusion: The authors recommend a screw length of no more than 45 mm to optimize the location of the screw threads in the best cancellous bone in an effort to obtain the most compression.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTORpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofAnnals of Medical and Health Sciences Research-
dc.rightsAcesso Abertopt_BR
dc.subjectAnklept_BR
dc.subjectAnkle Fracturespt_BR
dc.subjectMedial malleoluspt_BR
dc.subject.otherTornozelopt_BR
dc.subject.otherFraturas do Tornozelopt_BR
dc.titleMedial malleolar fractures: an anatomic survey determining the ideal screw lengthpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.amhsr.org/articles/medial-malleolar-fractures-an-anatomic-survey-determining-the-ideal-screw-length.pdfpt_BR
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