ArticleActa bio-medica : Atenei Parmensis2018
The management of syndesmotic screw in ankle fractures.
Article in Acta bio-medica : Atenei Parmensis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Functional outcome of routine versus on-demand removal of the syndesmotic screw: a multicentre randomized controlled trial.The bone & joint journal · 2021Trial
- Variability in Syndesmotic Screw Angles During Ankle Fracture Fixation: Insights From Postoperative CT Analysis.Cureus · 2026Article
- Routine Removal of Syndesmotic Screws After Tibiofibular Syndesmosis Fixation Does Not Affect Patient Function and Is Associated with a Higher Risk of Postoperative Complications.Journal of clinical medicine · 2025Article
- A Review of Syndesmosis Injuries and Preferred Treatment in Football Players.Current reviews in musculoskeletal medicine · 2025Review
- Is There Any Purpose in Routine Syndesmotic Screw Removal? Systematic Literature Review.Journal of clinical medicine · 2024Review
- Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair.Medicina (Kaunas, Lithuania) · 2023Article
- Predictors of Hardware Removal in Orthopaedic Trauma Patients Undergoing Syndesmotic Ankle Fixation With Screws.Foot & ankle orthopaedics · 2023Article
- Syndesmosis Changes before and after Syndesmotic Screw Removal: A Retrospective Radiographic Study.Medicina (Kaunas, Lithuania) · 2022Review
- Acute syndesmotic injuries in ankle fractures: From diagnosis to treatment and current concepts.World journal of orthopedics · 2021Review
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimThere is a wide debate about the number, diameter and length of the syndesmotic screw and necessity and timing for its removal. The aim of this study is to determine whether functional and radiological outcomes differ in patients operated for Weber type B and C ankle fractures who had syndesmotic screws removed (group 1) compared to those who did not (group 2). Furthermore, authors want to define if it is really necessary to remove this device and its correct timing. MATERIALS AND
methods90 patients were eligible for the study. The functional outcomes were analyzed 1 year after surgery using OMAS and AOFAS scores. Radiographic evaluation assessed the tibiofibular distance immediately and 12 months after surgery and fracture's healing.
resultsClinical and x-rays results were similar in both groups at follow-up. DISCUSSION: Fractures with interruption of syndesmosis are lesions that, if not well treated, are complicated by joint stiffness, residual pain and post-traumatic osteoarthritis. Syndesmotic screw removal is not routinely performed, thus accepting the risk of rupture but avoiding a new surgery.
conclusionsResults observed suggest that syndesmotic screw removal is not necessary. If surgeon decide to remove this device correct timing is mandatory in order to obtain satisfactory long-term results.
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