Objective: To assess functional outcome and complications in patients with Weber C fracture following syndysmotic screw removed.

Patients & Methods: Forty three consecutive patients with closed Weber C type ankle fractures between 2002–20003 were studied. The syndysmotic screw was removed at 6–12 weeks time post operatively. Postoperative complications and functional outcome were studied.

Results: Following removal of the syndysmotic screw 6 patients had superficial wound infection, 4 patients had pain due to instability, one patient had DVT and one patient had broken screw. The functional outcome using ankle scores compared to the other studies in the literature did not show any significant difference.

Conclusion: Syndysmotic screw removal has significant morbidity. Guidelines with randomised control studies are recommended.