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Preventing surgical complications: A survey on surgeons' perception of intra-articular malleolar screw misplacement in a cadaveric study by Vincenzo Giordano; Arthur FS Gomes; Ney P Amaral; Rodrigo P Albuquerque; Robinson ES Pires is a Medicine article available to read on EtoBox.

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## Background Intra-articular hardware penetration can occur during osteosynthesis of ankle fractures, jeopardizing patients' outcomes. The intraoperative recognition of misplaced screws may be difficult due to the challenge of adequate interpretation of specific radiographic views. The present study was designed to investigate the diagnostic accuracy of standardized radiographic ankle views to determine the accuracy of diagnosis for intra-articular hardware placement of medial malleolar screws in a cadaveric model. ## Methods Nine preserved human cadaveric lower extremity specimens were used. Under direct visualization, two 4.0 mm cancellous screws were inserted into the medial malleolus. Each specimen was analyzed radiographically using antero-posterior (AP) and mortise views. The X-rays were randomly uploaded on a CD-ROM and included in a survey submitted to ten selected orthopaedic surgeons. The "Standards for Reporting of Diagnostic Accuracy" (STARD) questionnaire was used to determine the surgeons' perception of accuracy of screw placement in the medial malleolus. The selection of items was based on evidence whenever possible, therefore the "inconclusive" category was added.

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Author

Vincenzo Giordano; Arthur FS Gomes; Ney P Amaral; Rodrigo P Albuquerque; Robinson ES Pires

Publisher

BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2007-; Springer Science and Business Media LLC (ISSN 1754-9493)

Published

2011

Language

EN

Field

Medicine (Health Sciences)