Syndesmosis screw breakage: An analysis of multiple breakage locations

Concerns have been raised about screw breakage within the tibia or fibula, referred to as intraosseous breakage. The purpose of this investigation is to analyze the technical aspects of syndesmotic screw placement in multiple anatomic breakage locations. A retrospective analysis of over 1056 patients who underwent syndesmosis fixation was completed. Demographics, screw length, width, number, height above the tibial plafond, angle, breakage location, and breakage location on the screw were collected and analyzed. Intraosseous (IO) screw breakage (91 screws, 68 patients) was more common than clear space (CS) breakage (28 screws, 18 patients) (P =