Removal of Syndesmotic Screw After Fixation in Ankle Fractures: A Systematic Review.

Curēus
Omar DesoukyAhmed H Ghalab

Abstract

Syndesmotic injuries can occur with ankle fractures and can lead to destabilization of the ankle joint. As a result, it usually requires a transyndesmotic screw insertion to stabilize it. Currently, there is no consensus on the type, amount and diameter of screws used, the number of cortices needed to be engaged, the recommended time to weight-bearing, and whether the screw should be removed in these types of injuries. The aim of this study is to evaluate the evidence comparing the removal and non-removal of syndesmotic screws in open and closed ankle fractures that are associated with unstable syndesmosis in terms of functional, clinical, and radiological evidence. The study also looked at the evidence behind broken screw effects. The literature search was conducted on March 16, 2021, using the Ovid Medline and Embase databases. The literature was eligible if it aimed to compare syndesmotic screw removal and retention in ankle fractures. One study found that those with a broken screw had a better clinical outcome than those with an intact screw. The studies were excluded if they were biomechanical studies, case reports, or were relevant but had no adequate English translation. Initially, 53 studies were included but after scan...Continue Reading

References

Aug 1, 1978·Annals of the Rheumatic Diseases·W W DownieJ A Anderson
Aug 1, 1989·Foot & Ankle·R L NeedlemanJ B Stiehl
Jan 1, 1984·Archives of Orthopaedic and Trauma Surgery·C Olerud, H Molander
Jul 1, 1994·Foot & Ankle International·H B KitaokaM Sanders
Apr 2, 2008·The Journal of Bone and Joint Surgery. British Volume·R DattaniT P Selvan
Aug 5, 2009·The Journal of Bone and Joint Surgery. British Volume·N HamidM J Bosse
May 21, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Thomas H JordanJohn M Schuberth
Feb 22, 2012·Foot & Ankle International·Tim SchepersMaarten Van der Elst
Jun 5, 2015·Foot & Ankle International·Elisabeth GennisPaul Tornetta
Sep 1, 2015·Injury·Mette Renate AndersenWender Figved
Nov 20, 2015·Injury·Igor KaftandzievBore Bakota
Dec 29, 2016·Foot & Ankle Specialist·Kempland C WalleyJohn Y Kwon
Apr 25, 2019·Foot & Ankle Specialist·Michelle T SugiCharalampos Zalavras
Aug 30, 2019·BMJ : British Medical Journal·Jonathan A C SterneJulian P T Higgins
Mar 31, 2021·BMJ : British Medical Journal·Matthew J PageDavid Moher

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