Supination-external rotation ankle fractures: analysis of clinical results after syndesmotic screw removal

Heck, João Mendonça de Lima; Guareschi, Rosalino; Silva, Luiz Carlos Almeida da; Guerra, Marcelo Teodoro Ezequiel

doi:10.1016/j.rboe.2017.10.008

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…The literature search strategy identi ed 2026 potential articles. According to the inclusion and exclusion criteria, a total of 8 articles were nally included in the meta-analysis [5][6][7][8][9][10][11][12]. A owchart of the literature search is shown in Fig.…”

Section: Literature Characteristicsmentioning

confidence: 99%

Should syndesmotic screws be removed or retained? A meta-analysis

Qin

Yang

et al. 2020

Preprint

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Background The aim of this study was to evaluate the different clinical outcomes after removing or retaining syndesmotic screws, and the difference in clinical outcomes after retaining broken or loose syndesmotic screws was also evaluated.Methods A systematic literature search was performed using PubMed, Web of Science, EMBASE and the Cochrane Central Register of Controlled Trials. In this meta-analysis, we conducted online searches using the search terms “syndesmotic diastasis”, “syndesmotic injury”, “syndesmotic screw”, “syndesmotic fixation”, and “tibiofibular syndesmosis”. The analysis was performed on data from all the studies that met the selection criteria. Clinical outcomes were expressed as standard mean differences for continuous outcomes with 95 % confidence intervals. Heterogeneity was assessed using the Chi2 test and the I2 statistic.Results There were 2 randomized controlled trials (RCTs) and 6 observational articles included in this analysis. In the comparison between retained and removed screws and the comparison between broken or loose and removed screws, no significant difference was found in terms of visual analogue scale (VAS), Olerud-Molander Ankle Score (OMAS) and American Orthopaedic Foot and Ankle Society (AOFAS) ankle/hindfoot score. Broken or loose screws were associated with better AOFAS scores compared with removed or intact screws, and no significant difference was found in terms of VAS and OMAS scores.Conclusions According to our analysis, there was no significant difference in clinical outcomes between removed and retained screws. Broken or loose screws were not associated with bad functional outcomes and may even lead to better function compared with removed or retained screws.

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Section: Literature Characteristicsmentioning

confidence: 99%

Should syndesmotic screws be removed or retained? A meta-analysis

Qin

Yang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The literature search strategy identified 225 potential articles. According to the inclusion and exclusion criteria, a total of 8 articles were finally included in the meta-analysis [11][12][13][14][15][16][17][18]. A flowchart of the literature search is shown in Fig.…”

Section: Literature Characteristicsmentioning

confidence: 99%

Should syndesmotic screws be removed or retained? A meta-analysis

Qin

Yang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background The aim of this study was to evaluate the different clinical outcomes after removing or retaining syndesmotic screws, and the difference in clinical outcomes after retaining broken or loose syndesmotic screws was also evaluated. Methods A systematic literature search was performed using PubMed, Web of Science, EMBASE and the Cochrane Central Register of Controlled Trials. In this meta-analysis, we conducted online searches using the search terms “syndesmotic diastasis”, “syndesmotic injury”, “syndesmotic screw”, “syndesmotic fixation”, and “tibiofibular syndesmosis”. The analysis was performed on individual patient data from all the studies that met the selection criteria. Clinical outcomes were expressed as standard mean differences for continuous outcomes with 95% confidence intervals. Heterogeneity was assessed using the Chi 2 test and the I 2 statistic. Results There were 2 randomized controlled trials (RCTs) and 6 observational articles included in this analysis. In the comparison between retained and removed screws and the comparison between broken or loose and removed screws, no significant difference was found in terms of visual analogue scale (VAS), Olerud-Molander Ankle Score (OMAS) and American Orthopaedic Foot and Ankle Society (AOFAS) ankle/hindfoot score. Broken or loose screws were associated with better AOFAS scores compared with removed or intact screws, and no significant difference was found in terms of VAS and OMAS scores. Conclusions According to our analysis, there was no significant difference in clinical outcomes between removed and retained screws. Broken or loose screws were not associated with bad functional outcomes and may even lead to better function compared with removed or retained screws.

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Supination-external rotation ankle fractures: analysis of clinical results after syndesmotic screw removal

Cited by 2 publications

References 21 publications

Should syndesmotic screws be removed or retained? A meta-analysis

Should syndesmotic screws be removed or retained? A meta-analysis

Should syndesmotic screws be removed or retained? A meta-analysis

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