{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T18:32:25Z","timestamp":1793298745998,"version":"4.5.0"},"reference-count":12,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO Nosso objetivo \u00e9 descrever a t\u00e9cnica de fixa\u00e7\u00e3o intramedular (IM) da f\u00edbula no tratamento cir\u00fargico das fraturas maleolares do tornozelo. A redu\u00e7\u00e3o \u00e9 realizada sempre de forma percut\u00e2nea: quando o tra\u00e7o de fratura \u00e9 obl\u00edquo simples, utilizamos uma pin\u00e7a de redu\u00e7\u00e3o de pontas e quando a fratura apresenta padr\u00e3o multifragmentar, usa-se tra\u00e7\u00e3o longitudinal e rota\u00e7\u00e3o. Isso reduz as complica\u00e7\u00f5es relacionadas \u00e0 redu\u00e7\u00e3o aberta e fixa\u00e7\u00e3o interna com placa. A t\u00e9cnica demonstrou ser simples e reprodut\u00edvel. Al\u00e9m disso, essa forma de fixa\u00e7\u00e3o permite apoio precoce do peso corporal, o que acelera o processo de reabilita\u00e7\u00e3o e potencialmente acelera a cicatriza\u00e7\u00e3o da fratura. A fixa\u00e7\u00e3o IM da f\u00edbula mostrou-se uma op\u00e7\u00e3o vi\u00e1vel para a fixa\u00e7\u00e3o do mal\u00e9olo lateral nas fraturas do tornozelo, devendo ser considerada no arsenal do cirurgi\u00e3o.<\/jats:p>","DOI":"10.1590\/0100-6991e-20202508","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T12:58:29Z","timestamp":1592225909000},"source":"Crossref","is-referenced-by-count":5,"title":["Haste intramedular de f\u00edbula nas fraturas maleolares do tornozelo - t\u00e9cnica cir\u00fargica e revis\u00e3o da literatura"],"prefix":"10.1590","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4429-312X","authenticated-orcid":false,"given":"Vincenzo","family":"Giordano","sequence":"first","affiliation":[{"name":"Hospital Municipal Miguel Couto,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter V","family":"Giannoudis","sequence":"additional","affiliation":[{"name":"University of Leeds,  Reino Unido"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme","family":"Boni","sequence":"additional","affiliation":[{"name":"UNIFESP - Escola Paulista de Medicina,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robinson Esteves","family":"Pires","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junji Miller","family":"Fukuyama","sequence":"additional","affiliation":[{"name":"Hospital Geral Vila Penteado,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre Leme","family":"Godoy-Santos","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilton Augusto","family":"Koch","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"4","key":"ref1","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/s10195-014-0320-0","article-title":"Intramedullary fixation of distal fibular fractures: a systematic review of clinical and functional outcomes","volume":"15","author":"Jain S","year":"2014","journal-title":"J Orthopaed Traumatol"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1177\/1071100715622392","article-title":"Intramedullary fixation for fractures of the distal fibula","volume":"37","author":"Walton DM","year":"2016","journal-title":"Foot Ankle Int"},{"issue":"4 Suppl","key":"ref3","doi-asserted-by":"crossref","first-page":"S255","DOI":"10.1016\/j.otsr.2014.03.005","article-title":"Internal fixation of the fibula in ankle fractures: A prospective, randomized and comparative study: plating versus nailing","volume":"100","author":"Asloum Y","year":"2014","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref4","doi-asserted-by":"crossref","DOI":"10.1007\/s00068-020-01337-w","article-title":"Nailing the fibula: alternative or standard treatment for lateral malleolar fracture fixation? 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