Ijezie Nzubechukwu, Fraig Hossam, Abolaji Samson
Surgery, Dorset County Hospital NHS Foundation Trust, Dorchester, GBR.
Medicine, All Saints University College of Medicine, Kingstown, VCT.
Cureus. 2022 Jul 9;14(7):e26675. doi: 10.7759/cureus.26675. eCollection 2022 Jul.
Background Ankle joint stabilization with fixation following an injury has been the practice for ankle injuries requiring stabilization. When syndesmotic screws are used to stabilize the ankle joint, the current practice encourages the removal of these screws. However, this study was performed to evaluate the outcomes of patients treated with these screws, with the view to challenging routine screw removal. Methodology This was a retrospective study analyzing the records of 52 patients who had been treated with the syndesmotic screw over a two-year span. Results Of the 26 patients who did not retain the screw, 84.6% (n = 22) had it removed based on the advice of the surgeon as per the current practice. In total, 19 (73.1%) of these patients had suffered at least one complication over the two procedures. Conversely, of the 23 patients who had retained the screw through one procedure, 14 (60.7%) had at least one complication. Conclusions Routine syndesmotic screw removal is associated with increased risks of complications compared to retaining the screws, in addition to not producing a superior outcome for the patients.
对于需要稳定的踝关节损伤，损伤后采用固定来稳定踝关节一直是常规做法。当使用下胫腓螺钉来稳定踝关节时，目前的做法是鼓励取出这些螺钉。然而，本研究旨在评估接受这些螺钉治疗的患者的结局，以期对常规取出螺钉提出质疑。
这是一项回顾性研究，分析了52例在两年时间内接受下胫腓螺钉治疗的患者的记录。
在未保留螺钉的26例患者中，84.6%（n = 22）根据当前做法听从外科医生的建议取出了螺钉。在这22例患者中，共有19例（73.1%）在这两个过程中至少出现了一种并发症。相反，在通过一个过程保留螺钉的23例患者中，14例（60.7%）至少出现了一种并发症。
与保留螺钉相比，常规取出下胫腓螺钉不仅不会为患者带来更好的结局，还会增加并发症的风险。
