The Radiologic Change of Distal Tibiofibular Joint Following the Removal of the Transfixing Screw After Syndesmotic Injury:

Foot & Ankle Orthopaedics

Bi OJeong¹ 

关键词: Syndesmosis;    Syndesmosis malreduction;    Transfixing screw;    Removal;   

DOI  :  10.1177/2473011417S000052

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle, TraumaIntroduction/Purpose:Transfixing screw fixation is required after anatomic reduction of syndesmosis disruption. An accurate anatomic reduction is related to good functional outcome. However, there is a dispute over whether the transfixing screw should be removed, and little is known about the change of syndesmosis integrity after screw removal. This study aimed to evaluate the effect of transfixing screw removal on syndesmosis integrity with computed tomography (CT) scans.Methods:The study was done prospectively on 28 cases (28 patients) who had transfixing screw fixation for syndesmosis injury from September 2010 to August 2016. Mean age was 31.9 years (range, 17 to 55 years). There were 20 male patients and 8 female patients. Transfixing screws were removed after 3 months, and CT scans were done just before and 3 months after transfixing screw removal. Anterior and posterior measurement ratio (A/P ratio) of the syndesmosis was measured on axial CT images for radiological analysis o...

【 授权许可】

CC BY