Syndesmotic screw retention vs. removal in fibular fracture with tibiofibular diastasis .
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original publication.
Removal of the syndesmotic screw after the surgical treatment of a fracture of the ankle in adult patients does not affect one-year outcomes: a randomised controlled trial
Bone Joint J. 2014 Dec;96-B(12):1699-70572 patients with distal fibular fracture and tibiofibular diastasis who underwent fibular fixation and syndesmotic screw fixation were randomized to either screw removal at 3 months or retention. The purpose of this study was to evaluate whether functional, clinical, or radiographical outcome significantly differed between groups at 1 year postoperatively. The results indicated statistically similar outcome in all measures at 1 year, despite a loose or broken screw being found in 19 patients allocated to screw retention.
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