<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2306-4102</journal-id>
<journal-title><![CDATA[Acta ortopédica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta ortop. mex]]></abbrev-journal-title>
<issn>2306-4102</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Ortopedia y Traumatología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-41022018000200076</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de las complicaciones relacionadas con el retiro del tornillo de situación]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of complications related to the removal of the syndesmotic screw]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Juárez-Jiménez]]></surname>
<given-names><![CDATA[HG]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garibay-Cervantes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosas-Medina]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas-Morales]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Reyes]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Regional 2 Servicio de Extremidad Pélvica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Regional 2  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Regional 2 Servicio de Extremidad Pélvica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General Regional 2 Clínica de Educación e Investigación en Salud ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital General Regional 2 Servicio de Epidemiología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>32</volume>
<numero>2</numero>
<fpage>76</fpage>
<lpage>81</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022018000200076&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022018000200076&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022018000200076&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes:  El retiro del tornillo de situación es un procedimiento actualmente cuestionado. La mayoría de las publicaciones que exhortan a evitar este procedimiento consideran que la tasa de complicaciones es elevada. El objetivo de este trabajo fue conocer la tasa de complicaciones relacionadas con el retiro del tornillo de situación para comprobar la seguridad del procedimiento y comparar los resultados con la literatura internacional.  Material y métodos:  Se realizó un estudio descriptivo, observacional, retrospectivo y transversal en el cual se tomó una muestra de todos los casos operados de retiro de tornillo de situación en nuestro hospital de Febrero de 2015 a Enero de 2016 para obtener la prevalencia de las complicaciones relacionadas con este procedimiento. El análisis estadístico fue descriptivo.  Resultados:  Se estudió un total de 207 pacientes. Se observaron cinco pacientes con complicaciones (2.41%). Dos casos con dehiscencia de la herida, dos casos con infección superficial (1.92%) y un caso con diástasis subsecuente de la sindesmosis con dolor asociado a inestabilidad (0.48%), el cual requirió de cirugía de revisión.  Conclusiones:  En la muestra estudiada de nuestro hospital, la prevalencia de complicaciones relacionadas con el retiro del tornillo situacional fue menor que la reportada en la literatura hasta el momento; por ende, podríamos afirmar que es un procedimiento seguro, con una baja tasa de infección e inestabilidad postraumática del tobillo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  Removal of the syndesmotic screw is a currently-disputed procedure. Most of the publications that promote avoid this procedure considered that the rate of complications is high. The aim of this work was to determine the rate of complications related to the removal of the syndesmotic screw to learn about the safety and compare the results with the international literature.  Material and methods:  A descriptive, observational, retrospective and cross-sectional study in which took a sample of all cases operated of removal of the syndesmotic screw at our hospital from February 2015 January 2016 for the prevalence of the complications associated with this procedure. The statistical analysis was descriptive.  Results:  A total of 207 patients were studied. Five patients with complications were observed (2.41%). Two cases with wound dehiscence, two cases with superficial infection (1.92%), and a case with subsequent diastasis of the syndesmosis, with pain associated to instability (0.48%) which required revision surgery.  Conclusions:  In the sample of our hospital, the prevalence of complications related to the syndesmotic screw removal was less than that reported in the literature so far; Thus we could say that is a safe procedure, with low risk for infection and post-traumatic instability of the ankle.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tobillo]]></kwd>
<kwd lng="es"><![CDATA[sindesmosis]]></kwd>
<kwd lng="es"><![CDATA[tornillo]]></kwd>
<kwd lng="es"><![CDATA[tratamiento]]></kwd>
<kwd lng="es"><![CDATA[retiro]]></kwd>
<kwd lng="en"><![CDATA[Ankle]]></kwd>
<kwd lng="en"><![CDATA[syndesmosis]]></kwd>
<kwd lng="en"><![CDATA[screw]]></kwd>
<kwd lng="en"><![CDATA[treatment]]></kwd>
<kwd lng="en"><![CDATA[removal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hermans]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Beumer]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[de Jong]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Kleinrensink]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anatomy of the distal tibiofibular syndesmosis in adults: a pictorial essay with a multimodality approach]]></article-title>
<source><![CDATA[J Anat]]></source>
<year>2010</year>
<volume>217</volume>
<page-range>633-45</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bartonícek]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anatomy of the tibiofibular syndesmosis and its clinical relevance]]></article-title>
<source><![CDATA[Surg Radiol Anat]]></source>
<year>2003</year>
<volume>25</volume>
<numero>5-6</numero>
<issue>5-6</issue>
<page-range>379-86</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huber]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Schmoelz]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Bölderl]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Motion of the fibula relative to the tibia and its alterations with syndesmosis screws: a cadaver study]]></article-title>
<source><![CDATA[Foot Ankle Surg]]></source>
<year>2012</year>
<volume>18</volume>
<page-range>203-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ahl]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Dalén]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Lundberg]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Selvik]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mobility of the ankle mortise. A roentgen stereophotogrammetric analysis]]></article-title>
<source><![CDATA[Acta Orthop Scand]]></source>
<year>1987</year>
<volume>58</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>401-2</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ogilvie-Harris]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Reed]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Disruption of the ankle syndesmosis: diagnosis and treatment by arthroscopic surgery]]></article-title>
<source><![CDATA[Arthroscopy]]></source>
<year>1994</year>
<volume>10</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>561-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ogilvie-Harris]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Reed]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
<name>
<surname><![CDATA[Hedman]]></surname>
<given-names><![CDATA[TP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Disruption of the ankle syndesmosis: biomechanical study of the ligamentous restraints]]></article-title>
<source><![CDATA[Arthroscopy]]></source>
<year>1994</year>
<volume>10</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>558-60</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Snedden]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Shea]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diastasis with low distal fibula fractures: an anatomic rationale]]></article-title>
<source><![CDATA[Clin Orthop Relat Res]]></source>
<year>2001</year>
<numero>382</numero>
<issue>382</issue>
<page-range>197-205</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lauge-Hansen]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fractures of the ankle. II. Combined experimental-surgical and experimental-roentgenologic investigations]]></article-title>
<source><![CDATA[Arch Surg]]></source>
<year>1950</year>
<volume>60</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>957-85</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Boytim]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Fischer]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Neumann]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Syndesmotic ankle sprains]]></article-title>
<source><![CDATA[Am J Sports Med]]></source>
<year>1991</year>
<volume>19</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>294-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kelikian]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Kelikian]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Kelikian]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Kelikian]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
</person-group>
<source><![CDATA[Correlative anatomy of the ankle joint: disorders of the ankle]]></source>
<year>1985</year>
<publisher-loc><![CDATA[Philadelphia ]]></publisher-loc>
<publisher-name><![CDATA[WB Saunders]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wuest]]></surname>
<given-names><![CDATA[TK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Injuries to the distal lower extremity syndesmosis]]></article-title>
<source><![CDATA[J Am Acad Orthop Surg]]></source>
<year>1997</year>
<volume>5</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>172-81</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fritschy]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An unusual ankle injury in top skiers]]></article-title>
<source><![CDATA[Am J Sports Med]]></source>
<year>1989</year>
<volume>17</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>282-5</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Taylor]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
<name>
<surname><![CDATA[Englehardt]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
<name>
<surname><![CDATA[Bassett]]></surname>
<given-names><![CDATA[FH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Syndesmosis sprains of the ankle. The influence of heterotopic ossification]]></article-title>
<source><![CDATA[Am J Sports Med]]></source>
<year>1992</year>
<volume>20</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>146-50</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Magee]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Orthopaedic physical assessment]]></source>
<year>1997</year>
<publisher-loc><![CDATA[Philadelphia ]]></publisher-loc>
<publisher-name><![CDATA[WB Saunders]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Egol]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Pahk]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Walsh]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tejwani]]></surname>
<given-names><![CDATA[NC]]></given-names>
</name>
<name>
<surname><![CDATA[Davidovitch]]></surname>
<given-names><![CDATA[RI]]></given-names>
</name>
<name>
<surname><![CDATA[Koval]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Outcome after unstable ankle fracture: effect of syndesmotic stabilization]]></article-title>
<source><![CDATA[J Orthop Trauma]]></source>
<year>2010</year>
<volume>24</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>7-11</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sagi]]></surname>
<given-names><![CDATA[HC]]></given-names>
</name>
<name>
<surname><![CDATA[Shah]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Sanders]]></surname>
<given-names><![CDATA[RW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The functional consequence of syndesmotic joint malreduction at a minimum 2-year follow-up]]></article-title>
<source><![CDATA[J Orthop Trauma]]></source>
<year>2012</year>
<volume>26</volume>
<page-range>439-43</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Switaj]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Mendoza]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kadakia]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute and chronic injuries to the syndesmosis]]></article-title>
<source><![CDATA[Clin Sports Med]]></source>
<year>2015</year>
<volume>34</volume>
<page-range>643-77</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kaye]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Stabilization of ankle syndesmosis injuries with syndesmosis screw]]></article-title>
<source><![CDATA[Foot Ankle]]></source>
<year>1989</year>
<volume>9</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>290-3</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Van den Bekerom]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Lamme]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Hogervorst]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bolhuis]]></surname>
<given-names><![CDATA[HW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Which ankle fractures require syndesmotic stabilization?]]></article-title>
<source><![CDATA[J Foot Ankle Surg]]></source>
<year>2007</year>
<volume>46</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>456-63</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grath]]></surname>
<given-names><![CDATA[GB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Widening of the ankle mortise. A clinical and experimental study]]></article-title>
<source><![CDATA[Acta Chir Scand Suppl]]></source>
<year>1960</year>
<numero>^s263</numero>
<issue>^s263</issue>
<supplement>263</supplement>
<page-range>1-88</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mast]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Teipner]]></surname>
<given-names><![CDATA[WA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A reproducible approach to the internal fixation of adult ankle fractures: rationale, technique, and early results]]></article-title>
<source><![CDATA[Orthop Clin North Am]]></source>
<year>1980</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>661-79</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Needleman]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[Skrade]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Stiehl]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of the syndesmotic screw on ankle motion]]></article-title>
<source><![CDATA[Foot Ankle]]></source>
<year>1989</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>17-24</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McBryde]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chiasson]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Wilhelm]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Donovan]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Ray]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Bacilla]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Syndesmotic screw placement: a biomechanical analysis]]></article-title>
<source><![CDATA[Foot Ankle Int]]></source>
<year>1997</year>
<volume>18</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>262-6</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schepers]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[van der Linden]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[van Lieshout]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Niesten]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
<name>
<surname><![CDATA[van der Elst]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Technical aspects of the syndesmotic screw and their effect on functional outcome following acute distal tibiofibular syndesmosis injury]]></article-title>
<source><![CDATA[Injury]]></source>
<year>2014</year>
<volume>45</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>775-9</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zalavras]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Thordarson]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ankle syndesmotic injuries]]></article-title>
<source><![CDATA[J Am Acad Orthop Surg]]></source>
<year>2007</year>
<volume>15</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>330-9</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Olerud]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of syndesmotic screw on the extension capacity of the ankle joint]]></article-title>
<source><![CDATA[Arch Orthop Trauma Surg]]></source>
<year>1985</year>
<volume>104</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>299-302</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bell]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[MK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Syndesmotic screw fixation in Weber C ankle injuries-should the screw be removed before weight bearing?]]></article-title>
<source><![CDATA[Injury]]></source>
<year>2006</year>
<volume>37</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>891-8</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Melvin]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Downing]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
<name>
<surname><![CDATA[Ogilvie]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A technique for removal of broken cannulated tricortical syndesmotic screws]]></article-title>
<source><![CDATA[J Orthop Trauma]]></source>
<year>2008</year>
<volume>22</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>648-51</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cottom]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Hyer]]></surname>
<given-names><![CDATA[CF]]></given-names>
</name>
<name>
<surname><![CDATA[Philbin]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
<name>
<surname><![CDATA[Berlet]]></surname>
<given-names><![CDATA[GC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of syndesmotic disruptions with the Arthrex Tightrope: a report of 25 cases]]></article-title>
<source><![CDATA[Foot Ankle Int]]></source>
<year>2008</year>
<volume>29</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>773-80</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[AN]]></given-names>
</name>
<name>
<surname><![CDATA[Paul]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Baraiah]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Parker]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Helfet]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
<name>
<surname><![CDATA[Lorich]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Functional outcomes after syndesmotic screw fixation and removal]]></article-title>
<source><![CDATA[J Orthop Trauma]]></source>
<year>2010</year>
<volume>24</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>12-6</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hinds]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Lazaro]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
<name>
<surname><![CDATA[Burket]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Lorich]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Risk factors for posttraumatic synostosis and outcomes following operative treatment of ankle fractures]]></article-title>
<source><![CDATA[Foot Ankle Int]]></source>
<year>2014</year>
<volume>35</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>141-7</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Høiness]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Strømsøe]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tricortical versus quadricortical syndesmosis fixation in ankle fractures: a prospective, randomized study comparing two methods of syndesmosis fixation]]></article-title>
<source><![CDATA[J Orthop Trauma]]></source>
<year>2004</year>
<volume>18</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>331-7</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Shank]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Morgan]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[WR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Syndesmosis fixation: a comparison of three and four cortices of screw fixation without hardware removal]]></article-title>
<source><![CDATA[Foot Ankle Int]]></source>
<year>2006</year>
<volume>27</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>567-72</page-range></nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jamil]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Allami]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Choudhury]]></surname>
<given-names><![CDATA[MZ]]></given-names>
</name>
<name>
<surname><![CDATA[Mann]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bagga]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Roberts]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Do orthopaedic surgeons need a policy on the removal of metalworks? A descriptive national survey of practicing surgenos in the United Kingdom]]></article-title>
<source><![CDATA[Injury]]></source>
<year>2008</year>
<volume>39</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>362-7</page-range></nlm-citation>
</ref>
<ref id="B35">
<label>35</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schepers]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[To retain or remove the syndesmotic screw: a review of literature]]></article-title>
<source><![CDATA[Arch Orthop Trauma Surg]]></source>
<year>2011</year>
<volume>131</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>879-83</page-range></nlm-citation>
</ref>
<ref id="B36">
<label>36</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hamid]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Loeffler]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
<name>
<surname><![CDATA[Braddy]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Kellam]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[BE]]></given-names>
</name>
<name>
<surname><![CDATA[Bosse]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Outcome after fixation of ankle fractures with an injury to the syndesmosis: the effect of the syndesmotic screw]]></article-title>
<source><![CDATA[J Bone Joint Surg Br]]></source>
<year>2009</year>
<volume>91</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1069-73</page-range></nlm-citation>
</ref>
<ref id="B37">
<label>37</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Manjoo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sanders]]></surname>
<given-names><![CDATA[DW]]></given-names>
</name>
<name>
<surname><![CDATA[Tieszer]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[MacLeod]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Functional and radiographic results of patients with syndesmotic screw fixation: implications for screw removal]]></article-title>
<source><![CDATA[J Orthop Trauma]]></source>
<year>2010</year>
<volume>24</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>2-6</page-range></nlm-citation>
</ref>
<ref id="B38">
<label>38</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tucker]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Street]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kealey]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[McDonald]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Stevenson]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Functional outcomes following syndesmotic fixation: A comparison of screws retained in situ versus routine removal-Is it really necessary?]]></article-title>
<source><![CDATA[Injury]]></source>
<year>2013</year>
<volume>44</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1880-4</page-range></nlm-citation>
</ref>
<ref id="B39">
<label>39</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Magan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Golano]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Maffulli]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Khanduja]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation and management of injuries of the tibiofibular syndesmosis]]></article-title>
<source><![CDATA[Br Med Bull]]></source>
<year>2014</year>
<volume>111</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>101-15</page-range></nlm-citation>
</ref>
<ref id="B40">
<label>40</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Song]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Lanzi]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[Groth]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
<name>
<surname><![CDATA[Drake]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Orchowski]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Shaha]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of syndesmosis screw removal on the reduction of the distal tibiofibular joint: a prospective radiographic study]]></article-title>
<source><![CDATA[Foot Ankle Int]]></source>
<year>2014</year>
<volume>35</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>543-8</page-range></nlm-citation>
</ref>
<ref id="B41">
<label>41</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Droog]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Verhage]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Hoogendoorn]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence and clinical relevance of tibiofibular synostosis in fractures of the ankle which have been treated surgically]]></article-title>
<source><![CDATA[Bone Joint J]]></source>
<year>2015</year>
<volume>97</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>945-9</page-range></nlm-citation>
</ref>
<ref id="B42">
<label>42</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kaftandziev]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Spasov]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Trpeski]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Zafirova-Ivanovska]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Bakota]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fate of the syndesmotic screw--Search for a prudent solution]]></article-title>
<source><![CDATA[Injury]]></source>
<year>2015</year>
<numero>^s6</numero>
<issue>^s6</issue>
<supplement>6</supplement>
<page-range>S125-S9</page-range></nlm-citation>
</ref>
<ref id="B43">
<label>43</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanderson]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[Ryan]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Turner]]></surname>
<given-names><![CDATA[PG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complications of metalwork removal]]></article-title>
<source><![CDATA[Injury]]></source>
<year>1992</year>
<volume>23</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>29-30</page-range></nlm-citation>
</ref>
<ref id="B44">
<label>44</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Donatto]]></surname>
<given-names><![CDATA[KC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ankle fractures and syndesmosis injuries]]></article-title>
<source><![CDATA[Orthop Clin North Am]]></source>
<year>2001</year>
<volume>32</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>79-90</page-range></nlm-citation>
</ref>
<ref id="B45">
<label>45</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[van den Bekerom]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Hogervorst]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bolhuis]]></surname>
<given-names><![CDATA[HW]]></given-names>
</name>
<name>
<surname><![CDATA[van Dijk]]></surname>
<given-names><![CDATA[CN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Operative aspects of the syndesmotic screw: review of current concepts]]></article-title>
<source><![CDATA[Injury]]></source>
<year>2008</year>
<volume>39</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>491-8</page-range></nlm-citation>
</ref>
<ref id="B46">
<label>46</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schepers]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Van Lieshout]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[de Vries]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Van der Elst]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complications of syndesmotic screw removal]]></article-title>
<source><![CDATA[Foot Ankle Int]]></source>
<year>2011</year>
<volume>32</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1040-4</page-range></nlm-citation>
</ref>
<ref id="B47">
<label>47</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hsu]]></surname>
<given-names><![CDATA[YT]]></given-names>
</name>
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[WC]]></given-names>
</name>
<name>
<surname><![CDATA[Fan]]></surname>
<given-names><![CDATA[KF]]></given-names>
</name>
<name>
<surname><![CDATA[Tseng]]></surname>
<given-names><![CDATA[IC]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical treatment of syndesmotic diastasis: emphasis on effect of syndesmotic screw on ankle function]]></article-title>
<source><![CDATA[Int Orthop]]></source>
<year>2011</year>
<volume>35</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>359-4</page-range></nlm-citation>
</ref>
<ref id="B48">
<label>48</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andersen]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Frihagen]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Madsen]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Figved]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[High complication rate after syndesmotic screw removal]]></article-title>
<source><![CDATA[Injury]]></source>
<year>2015</year>
<volume>46</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>2283-7</page-range></nlm-citation>
</ref>
<ref id="B49">
<label>49</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lalli]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Matthews]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Hanselman]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
<name>
<surname><![CDATA[Hubbard]]></surname>
<given-names><![CDATA[DF]]></given-names>
</name>
<name>
<surname><![CDATA[Bramer]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Santrock]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Economic impact of syndesmosis hardware removal]]></article-title>
<source><![CDATA[Foot (Edinb)]]></source>
<year>2015</year>
<volume>25</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>131-3</page-range></nlm-citation>
</ref>
<ref id="B50">
<label>50</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruta]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Kadakia]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Irwin]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[What are the patterns of prophylactic postoperative oral antibiotic use after foot an ankle surgery?]]></article-title>
<source><![CDATA[Clin Orthop Relat Res]]></source>
<year>2014</year>
<volume>472</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>3204-13</page-range></nlm-citation>
</ref>
<ref id="B51">
<label>51</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dayton]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[DeVries]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Landsman]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Meyr]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Schweinberger]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[American college of foot and ankle surgeon&#8217;s clinical consensus statement: perioperative prophylactic antibiotic use in clinical elective foot syrgery]]></article-title>
<source><![CDATA[J Foot Ankle Surg]]></source>
<year>2015</year>
<volume>54</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>273-9</page-range></nlm-citation>
</ref>
<ref id="B52">
<label>52</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jordan]]></surname>
<given-names><![CDATA[TH]]></given-names>
</name>
<name>
<surname><![CDATA[Talarico]]></surname>
<given-names><![CDATA[RH]]></given-names>
</name>
<name>
<surname><![CDATA[Schuberth]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The radiographic fate of the syndesmosis after trans syndesmotic screw removal in displaced ankle fractures]]></article-title>
<source><![CDATA[J Foot Ankle Surg]]></source>
<year>2011</year>
<volume>50</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>407-12</page-range></nlm-citation>
</ref>
<ref id="B53">
<label>53</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lambers]]></surname>
<given-names><![CDATA[KT]]></given-names>
</name>
<name>
<surname><![CDATA[van den Bekerom]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Doornberg]]></surname>
<given-names><![CDATA[JN]]></given-names>
</name>
<name>
<surname><![CDATA[Stufkens]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[van Dijk]]></surname>
<given-names><![CDATA[CN]]></given-names>
</name>
<name>
<surname><![CDATA[Kloen]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Long term outcome of pronation external rotation ankle fractures treated with syndesmotic screw only]]></article-title>
<source><![CDATA[J Bone Joint Surg Am]]></source>
<year>2013</year>
<volume>95</volume>
<numero>17</numero>
<issue>17</issue>
<page-range>e1221-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
