Incidence of Hardware-Related Pain and Its Effect on Functional Outcomes After Open Reduction and Internal Fixation of Ankle Fractures

@article{Brown2001IncidenceOH,
  title={Incidence of Hardware-Related Pain and Its Effect on Functional Outcomes After Open Reduction and Internal Fixation of Ankle Fractures},
  author={Ouida Brown and Douglas R. Dirschl and William T. Obremskey},
  journal={Journal of Orthopaedic Trauma},
  year={2001},
  volume={15},
  pages={271-274}
}
Objectives To document the incidence of late pain and hardware removal after open reduction and internal fixation (ORIF) of ankle fractures. To test the hypothesis that late pain overlying the distal tibial and fibular hardware is associated with poorer functional outcomes. Design Retrospective review. Setting Level II trauma center. Patients One hundred twenty-six skeletally mature patients undergoing ORIF of unstable malleolar fractures who were followed up for at least six months from injury… 
Hardware Related Pain and Hardware Removal after Open Reduction and Internal Fixation of Ankle Fractures
TLDR
Hardware related pain is a significant issue after ORIF of ankle fractures and although pain reduction is achieved in 71% of the patients after elective hardware removal, a substantial number of patients have persistent complaints.
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Patients who have elective removal of their surgical implants after open reduction and internal fixation of a tibial plateau fracture have improved clinical outcomes after removal and also demonstrate significantly better outcomes than those who have retained implants at final follow-up.
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TLDR
This prospective study evaluated patient outcomes and pain reduction following removal of orthopaedic hardware implanted for fracture fixation and found that removal of hardware is safe with minimal risk.
Is Hardware Removal Recommended after Ankle Fracture Repair?
TLDR
It is suggested that routine hardware removal after ankle or distal tibia fracture could ameliorate hardware-related pain and improves daily activities and patient satisfaction even when the hardware- related pain is minimal.
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Background/Aim: The aim of the present study was to assess the impact of syndesmotic screw fixation on overall clinical outcomes following Weber B-type ankle fractures. Materials and Methods: A total
Functional and Radiographic Results of Patients with Syndesmotic Screw Fixation: Implications for Screw Removal
TLDR
An intact syndesmosis screw was associated with a worse functional outcome compared with loose, fractured, or removed screws, however, there were no differences in functional outcomes comparing loose or fractured screws with removed screws.
Complications Following Treatment of Supination External Rotation Ankle Fractures Through the Posterolateral Approach
TLDR
The posterolateral approach to the ankle was a valuable approach for SER ankle fractures including access to the apex of the fibula fracture for posterior antiglide plating,Access to the posterior malleolus for fixation, access toThe posterior inferior tibiofibular ligament for repair, minimal major wound complications, good functional outcomes, and minimal need for reoperation.
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TLDR
A significant improvement of clinical outcome following removal of hardware from the proximal humerus was found, but a general recommendation for hardware removal is not justified, as the risk of an anew surgical and anesthetic procedure with all possible complications has to be carefully taken into account.
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TLDR
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Open reduction and rigid fixation with two screws, with early mobilisation after operation and avoidance of plaster, achieved a high percentage of satisfactory results and diminishes the incidence of traumatic arthritis and pain.
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