SPORTS MEDICINE
OTA2018: Is routine screw removal necessary following syndesmotic stabilization?
32 patients with a syndesmosis injury following ankle fracture and underwent syndesmotic screw fixation were randomized to either screw removal or screw retention after 3 months. Patients were assessed for functional outcome on the Foot and Ankle Outcome Score (FAOS) after 1 year. Only 16 patients were available for analysis, but results demonstrated no significant difference in FAOS score at 1 year between groups. Almost half of the screws that had been retained beyond 3 months (4/9) were either broken or loose at 12-month follow-up.
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