Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair
<i>Background and Objectives:</i> While numerous studies have been conducted on syndesmotic screw management following distal tibiofibular diastasis repair, a clear consensus remains unclear. This research aims to evaluate whether the postoperative removal of syndesmotic screws leads to...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-11-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/12/2048 |
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| author | Isabella-Ionela Sanda Samer Hosin Dinu Vermesan Bogdan Deleanu Daniel Pop Dan Crisan Musab Al-Qatawneh Mihai Mioc Radu Prejbeanu Ovidiu Rosca |
| author_facet | Isabella-Ionela Sanda Samer Hosin Dinu Vermesan Bogdan Deleanu Daniel Pop Dan Crisan Musab Al-Qatawneh Mihai Mioc Radu Prejbeanu Ovidiu Rosca |
| author_sort | Isabella-Ionela Sanda |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> While numerous studies have been conducted on syndesmotic screw management following distal tibiofibular diastasis repair, a clear consensus remains unclear. This research aims to evaluate whether the postoperative removal of syndesmotic screws leads to improved patient outcomes, specifically in quality of life, mobility, and daily living activities, and whether it offers a cost-effective solution. <i>Materials and Methods:</i> Patients with a history of unimalleolar or bimalleolar ankle fractures, classified according to the Danis–Weber and Lauge–Hansen systems, were included. Comprehensive evaluations were made via standardized questionnaires like the SF-36 Health Survey, HADS, and WHOQOL-BREF, distributed approximately 2 months post surgery. A total of 93 patients underwent syndesmotic screw removal while 51 retained the screws (conservative approach). <i>Results:</i> Patients who underwent screw removal reported superior satisfaction in mobility, with a score of 7.8, compared to 6.7 in the conservative approach (<i>p</i> = 0.018). Similarly, their ability to perform daily activities scored 8.1, higher than the 6.5 from the conservative cohort (<i>p</i> < 0.001). Pain levels were also more favorable in the screw removal group, with a score of 5.3 against 6.8 in the conservative group (<i>p</i> = 0.003). On the SF-36 physical domain, the screw removal group achieved a mean score of 55.9 versus 53.3 for the conservative group (<i>p</i> = 0.027). Notably, the HADS anxiety subscale highlighted reduced anxiety levels in the screw removal cohort with a mean score of 5.8 against 7.3 in the conservative group (<i>p</i> = 0.006). However, overall quality of life and recommendations to others showed no significant difference between the groups. <i>Conclusions:</i> Syndesmotic screw removal postoperatively leads to marked improvements in patients’ mobility, daily activity abilities, and reduced postoperative pain and anxiety levels. However, overall quality of life was similar between the two approaches. The findings offer valuable insights for orthopedic decision making and patient-centered care concerning the management of syndesmotic screws after distal tibiofibular diastasis repair. |
| first_indexed | 2024-03-08T20:34:09Z |
| format | Article |
| id | doaj.art-b76aa5bf4cd147c68e70e3c739e5f331 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-08T20:34:09Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-b76aa5bf4cd147c68e70e3c739e5f3312023-12-22T14:23:38ZengMDPI AGMedicina1010-660X1648-91442023-11-015912204810.3390/medicina59122048Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis RepairIsabella-Ionela Sanda0Samer Hosin1Dinu Vermesan2Bogdan Deleanu3Daniel Pop4Dan Crisan5Musab Al-Qatawneh6Mihai Mioc7Radu Prejbeanu8Ovidiu Rosca9Doctoral School, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, RomaniaDoctoral School, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, RomaniaDepartment of Orthopedics, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, RomaniaDepartment of Orthopedics, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, RomaniaDepartment of Orthopedics, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, RomaniaDepartment of Orthopedics, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, RomaniaDepartment of Orthopedics, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, RomaniaDepartment of Orthopedics, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, RomaniaDepartment of Orthopedics, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, RomaniaDepartment of Infectious Diseases, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania<i>Background and Objectives:</i> While numerous studies have been conducted on syndesmotic screw management following distal tibiofibular diastasis repair, a clear consensus remains unclear. This research aims to evaluate whether the postoperative removal of syndesmotic screws leads to improved patient outcomes, specifically in quality of life, mobility, and daily living activities, and whether it offers a cost-effective solution. <i>Materials and Methods:</i> Patients with a history of unimalleolar or bimalleolar ankle fractures, classified according to the Danis–Weber and Lauge–Hansen systems, were included. Comprehensive evaluations were made via standardized questionnaires like the SF-36 Health Survey, HADS, and WHOQOL-BREF, distributed approximately 2 months post surgery. A total of 93 patients underwent syndesmotic screw removal while 51 retained the screws (conservative approach). <i>Results:</i> Patients who underwent screw removal reported superior satisfaction in mobility, with a score of 7.8, compared to 6.7 in the conservative approach (<i>p</i> = 0.018). Similarly, their ability to perform daily activities scored 8.1, higher than the 6.5 from the conservative cohort (<i>p</i> < 0.001). Pain levels were also more favorable in the screw removal group, with a score of 5.3 against 6.8 in the conservative group (<i>p</i> = 0.003). On the SF-36 physical domain, the screw removal group achieved a mean score of 55.9 versus 53.3 for the conservative group (<i>p</i> = 0.027). Notably, the HADS anxiety subscale highlighted reduced anxiety levels in the screw removal cohort with a mean score of 5.8 against 7.3 in the conservative group (<i>p</i> = 0.006). However, overall quality of life and recommendations to others showed no significant difference between the groups. <i>Conclusions:</i> Syndesmotic screw removal postoperatively leads to marked improvements in patients’ mobility, daily activity abilities, and reduced postoperative pain and anxiety levels. However, overall quality of life was similar between the two approaches. The findings offer valuable insights for orthopedic decision making and patient-centered care concerning the management of syndesmotic screws after distal tibiofibular diastasis repair.https://www.mdpi.com/1648-9144/59/12/2048ankle injuriestibiofibular ankle syndesmosisankle fracturesquality of life |
| spellingShingle | Isabella-Ionela Sanda Samer Hosin Dinu Vermesan Bogdan Deleanu Daniel Pop Dan Crisan Musab Al-Qatawneh Mihai Mioc Radu Prejbeanu Ovidiu Rosca Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair Medicina ankle injuries tibiofibular ankle syndesmosis ankle fractures quality of life |
| title | Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair |
| title_full | Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair |
| title_fullStr | Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair |
| title_full_unstemmed | Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair |
| title_short | Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair |
| title_sort | impact of syndesmotic screw removal on quality of life mobility and daily living activities in patients post distal tibiofibular diastasis repair |
| topic | ankle injuries tibiofibular ankle syndesmosis ankle fractures quality of life |
| url | https://www.mdpi.com/1648-9144/59/12/2048 |
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