Routine vs. On-Demand Removal of Syndesmotic Screws in Ankle Fractures

How to Cite

OrthoEvidence. Routine vs. On-Demand Removal of Syndesmotic Screws in Ankle Fractures. ACE Report. 2022;213(1):1. Available from: https://myorthoevidence.com/AceReport/Report/14338

Study Type:Therapy

OE Level Evidence:1

Journal Level of Evidence:1

Functional outcome of routine versus on-demand removal of the syndesmotic screw: a multicentre randomized controlled trial.

Bone Joint J . 2021 Nov;103-B(11):1709-1716.

Contributing Authors:
FRK Sanders MF Birnie SA Dingemans MPJ Van den Bekerom M Parkkinen RN van Veen group RODEO collaborator JC Goslings T Schepers

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Synopsis

One hundred and ninety seven patients who underwent operative fixation of an ankle syndesmotic injury were randomized to receive routine removal (n=93) or on-demand removal (104) of their syndesmotic screw after surgery. The primary outcome was function as measured by the Olerud-Molander Ankle Score (OMAS). Secondary outcomes of interest included pain, range of motion and complications.