Ankle/Enkel Fracture/Fractuur Syndesmotic screw/Syndesmose schroef Implant removal/ Verwijderen osteosynthesemateriaal Routine removal/ Routinematig verwijderen schroef Removal on demand/ op indicatie verwijderen schroef Functional outcome/ functioneel herstel Cost-effectiveness/ kosteneffectiviteit
Conditions
Interventions
We will investigate a removal on demand strategy regarding the syndesmotic screw. This means that patients, in whom a syndesmotic screw has been placed, will not be scheduled for screw removal unless
Sponsors
Academic Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: • Over 17 years of age • A syndesmotic screw for an instable ankle fracture • Syndesmotic screw placed within two weeks of the trauma • Being in such condition that one is able to possibly undergo a second procedure
Exclusion criteria
Exclusion criteria: • Patients treated with another device than a syndesmotic screw • ISS score > 15 • Injuries to the ipsi- and contralateral side which might hamper rehabilitation • Other medical conditions which hamper physical rehabilitation • Incomprehensive understanding of the Dutch language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| OMAS | — |
Secondary
| Measure | Time frame |
|---|---|
| • Functional outcome through the American Orthopedic Foot and Ankle Score (AOFAS) • Pain though the Visual analog scale (VAS-score) • Range-of-motion • Surgical complications (such as wound infections) • Recurrent syndesmotic diastasis • Quality of life though the EQ-5D-5L • Health care consumption through the iMCQ • Loss of productivity through the iPCQ | — |
Contacts
Public ContactTim Schepers
AMC
Outcome results
None listed