Materials and methods
Data were collected from the RODEO trial, a randomized controlled non-inferiority trial comparing on-demand removal to routine removal of the syndesmotic screw, of which the full study protocol has been previously reported [The trial was registered in the Netherlands Trial Register (NTR5965) and Clinicaltrials.gov (NCT02896998) and sponsored by ZonMw, a Dutch governmental organization (grant number: 843002705).