Çabuk H, et al. - Researchers retrospectively evaluated 368 X-rays and computed tomography (CT) images of ankle joints to determine the optimal screw length for different age groups in surgically treated medial malleoli fractures. In addition, they sought for the utility of the distance of epiphyseal scar to joint line or joint line to medullary space for assessment of screw length. Observations revealed the obvious decrease in the optimal screw length in patients in 61–70 and >70 years old group. Increase in the optimal length of screw was indicated with increasing distance of epiphyseal scar from joint line. A decrease in the distance of epiphyseal scar from joint line was observed by age. They identified a 40 mm screw as optimal for medial malleoli fractures when operating a patient over 60 years old.