[Ortho] Лодыжки

[Sereda Andrey]

Нет подвывиха.
А по поводу удаления винта вот интересно:
Whether or not the syndesmotic screw has to be removed prior to 
weight-bearing is still subject to debate. Proponents of this policy 
state that tibiofibular movement is affected by leaving the screw in 
place and dorsiflexion is hampered [33, 34]. This is accompanied by the 
possibility of breakage of the screw when left in place [35]. Prominent 
reference books [36, 37] in the field of fracture care still advocate 
removal of the syndesmotic screw prior to weight-bearing at 6–8 weeks, 
which to date, influence current practice [38, 39]. However, this 
statement has been disputed since the late 1950s and early 1960s [33, 
40–44]. In 1985, De Souza et al. [45] showed that in a group of 30 
patients with a syndesmotic screw, of which 12 were left in place, no 
difference in outcome, pain and motion between retained and removed 
screws could be detected after an average of 36 months. In addition, 
leaving the screw in place saves the patient from one extra surgical 
procedure, including its possible complications.
Sereda Andrey