{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:11:29Z","timestamp":1793171489929,"version":"4.5.0"},"reference-count":35,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"4","license":[{"start":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T00:00:00Z","timestamp":1396310400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p> Our aim was to compare polylevolactic acid screws with titanium screws when used for fixation of the distal tibiofibular syndesmosis at mid-term follow-up. A total of 168 patients, with a mean age of 38.5 years (18 to 72) who were randomly allocated to receive either polylevolactic acid (n = 86) or metallic (n = 82) screws were included. The Baird scoring system was used to assess the overall satisfaction and functional recovery post-operatively. The demographic details and characteristics of the injury were similar in the two groups. The mean follow-up was 55.8 months (48 to 66). The Baird scores were similar in the two groups at the final follow-up. Patients in the polylevolactic acid group had a greater mean dorsiflexion (p = 0.011) and plantar-flexion of the injured ankles (p &lt; 0.001). In the same group, 18 patients had a mild and eight patients had a moderate foreign body reaction. In the metallic groups eight had mild and none had a moderate foreign body reaction (p\u00a0&lt; \u00a00.001). In total, three patients in the polylevolactic acid group and none in the metallic group had heterotopic ossification (p = 0.246). <\/jats:p><jats:p> We conclude that both screws provide adequate fixation and functional recovery, but polylevolactic acid screws are associated with a higher incidence of foreign body reactions. <\/jats:p><jats:p> Cite this article: Bone Joint J 2014;96-B:548\u201354. <\/jats:p>","DOI":"10.1302\/0301-620x.96b4.32171","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T10:08:50Z","timestamp":1396346930000},"page":"548-554","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":42,"title":["A prospective, randomised trial comparing the use of absorbable and metallic screws in the fixation of distal tibiofibular syndesmosis injuries"],"prefix":"10.1302","volume":"96-B","author":[{"given":"H.","family":"Sun","sequence":"first","affiliation":[{"name":"Shanghai Jiao Tong University, Department\rof Orthopaedic Surgery, Shanghai Jiao Tong\rUniversity Affiliated Sixth People\u2019s Hospital,  600\rYiShan Road, Shanghai 200233, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. 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