Recurrence rates with long-term follow-up after hallux valgus surgical treatment using shaft metatarsal osteotomies: a systematic review and meta-analysis.

Autor:	Lalevee M; Department of Orthopedic Surgery, Rouen University Hospital, Rouen, France.; CETAPS UR3832, Research Center for Sports and Athletic Activities Transformations, University of Rouen Normandy, Mont-Saint-Aignan, France., Saffarini M; ReSurg SA, Nyon, Switzerland., van Rooij F; ReSurg SA, Nyon, Switzerland., Nover L; ReSurg SA, Nyon, Switzerland., Nogier A; Clinique Trénel, Sainte, Colombe, France., Beaudet P; Clinique Trénel, Sainte, Colombe, France.
Jazyk:	angličtina
Zdroj:	EFORT open reviews [EFORT Open Rev] 2024 Oct 03; Vol. 9 (10), pp. 933-940. Date of Electronic Publication: 2024 Oct 03.
DOI:	10.1530/EOR-23-0093
Abstrakt:	Purpose: Recurrence of hallux valgus (HV) following corrective surgery is a frequent concern. A recent systematic review estimated recurrence of HV in only 4.9%, which may be an underestimation, as most included studies had short- to mid-term follow-up. The purpose of this systematic review and meta-analysis was to synthesize and critically appraise the literature on the long-term outcomes of shaft osteotomies of the first metatarsal (M1) to treat HV without inflammatory disease or degenerative arthritis, and to assess the long-term HV recurrence rates of studies with a minimum follow-up of 5 years. Methods: This systematic review conforms to the PRISMA guidelines. The authors conducted a search using PubMed, Embase®, and Cochrane Central Register of Controlled Trials databases. Studies that report outcomes of shaft osteotomies of the M1 for non-inflammatory and non-degenerative HV having a minimum follow-up of 5 years were included. We found five eligible studies comprising six datasets, all assessed Scarf osteotomies with a mean follow-up that ranged from 8 to 14 years. Results: The HV recurrence rate was 40%, considering the threshold of >15° hallux valgus angle (HVA), 30% having >20°, and 2% having >25°. Conclusion: At a minimum follow-up of 8 years following shaft osteotomies of M1, the HVA was 15.9°, the intermetatarsal angle (IMA) was 7.7°, and the DMAA was 8.3°. Furthermore, the recurrence rates considering the various thresholds of HVA were: 40% having >15°, 20% having >20°, and 2% having >25°. Level of Evidence: Meta-analysis, Level IV.
Databáze:	MEDLINE
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