Syndesmosis screws: How many, what diameter, where and should they be removed? A literature review

被引:22
|
作者
Peek, A. C. [1 ]
Fitzgerald, C. E. [1 ]
Charalambides, C. [1 ]
机构
[1] Whittington Hosp, London N19 5NF, England
关键词
Syndesmosis; Screw; Fixation; Evidence; ANKLE FRACTURES; TIBIOFIBULAR SYNDESMOSIS; FUNCTIONAL OUTCOMES; STAINLESS-STEEL; FIXATION; INJURIES; MANAGEMENT; STABILIZATION; COMPLICATIONS; POSITION;
D O I
10.1016/j.injury.2014.05.003
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Although screw fixation remains the most commonly used method of syndesmosis fixation, the ideal screw size, placement, and number remain controversial. In addition, there has been debate as to whether the screw should always be removed, and a number of studies have looked at radiological and functional outcomes. In addition a number of cadaveric models have been developed, but the correlation between cadaveric findings and functional outcomes remains unclear. This systematic review of the literature aims to summarise the available evidence on how many screws should be placed, of what diameter, through how many cortices, at what level, and whether they should be removed. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1262 / 1267
页数:6
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