Distal chevron osteotomy versus different operative procedures for hallux valgus correction: a meta-analysis

Introduction Distal chevron osteotomy is commonly used for the operative treatment of hallux valgus (HV). However, there are several operative procedures that can be used to treat HV. The aim of this meta-analysis was to compare the efficacy of distal chevron osteotomy with different operative proce...

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Autores: Clemente P, Mariscal G, Barrios C
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p12957
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/12957
Access Level:acceso abierto
Palabra clave:Chevron osteotomy
Hallux valgus
Distal chevron
Meta-analysis
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spelling Distal chevron osteotomy versus different operative procedures for hallux valgus correction: a meta-analysisClemente PMariscal GBarrios CChevron osteotomyHallux valgusDistal chevronMeta-analysisIntroduction Distal chevron osteotomy is commonly used for the operative treatment of hallux valgus (HV). However, there are several operative procedures that can be used to treat HV. The aim of this meta-analysis was to compare the efficacy of distal chevron osteotomy with different operative procedures. Materials and methods A systematic search was conducted using the MEDLINE and EMBASE databases to identify randomized clinical trials (RCTs). The variables were radiological (hallux metatarsal phalangeal angle [HVA] and intermetatarsal angle [IMA]) and clinical (American Orthopaedic Foot & Ankle Society Score [AOFAS]). Heterogeneity was assessed with chi(2) and I-2 statistics. A random effects model was used for significant heterogeneity. Publication bias was evaluated with funnel plots. Results Ten studies involving 985 patients were evaluated in the meta-analysis. Distal chevron osteotomy was associated with a mean IMA correction 2.18 degrees greater than the scarf procedure (MD - 2.18; 95% CI - 3.67, - 0.69; p = 0.004; I-2 = 0%). In addition, the proximal chevron was associated with a mean IMA correction 1.08 degrees greater than the distal chevron (MD - 1.08; 95% CI - 1.86, - 0.29; p = 0.007; I-2 = 0%). The AOFAS assessment showed an overall advantage of 3.2 points in favor of the Lingdren group compared with distal chevron osteotomy (MD 3.20; 95% CI 0.37, 6.04; p = 0.03; I-2 = 0%). Conclusions Our findings indicate that distal chevron osteotomy provides a greater HVA correction than scarf osteotomy, and proximal chevron provides a larger IMA correction than distal chevron osteotomy. Lingdren osteotomy provides a greater AOFAS correction than distal chevron osteotomy.BMC2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/12957Journal of Orthopaedic Surgery and ResearchISSN: 1749799Xreponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p129572026-06-11T12:45:17Z
dc.title.none.fl_str_mv Distal chevron osteotomy versus different operative procedures for hallux valgus correction: a meta-analysis
title Distal chevron osteotomy versus different operative procedures for hallux valgus correction: a meta-analysis
spellingShingle Distal chevron osteotomy versus different operative procedures for hallux valgus correction: a meta-analysis
Clemente P
Chevron osteotomy
Hallux valgus
Distal chevron
Meta-analysis
title_short Distal chevron osteotomy versus different operative procedures for hallux valgus correction: a meta-analysis
title_full Distal chevron osteotomy versus different operative procedures for hallux valgus correction: a meta-analysis
title_fullStr Distal chevron osteotomy versus different operative procedures for hallux valgus correction: a meta-analysis
title_full_unstemmed Distal chevron osteotomy versus different operative procedures for hallux valgus correction: a meta-analysis
title_sort Distal chevron osteotomy versus different operative procedures for hallux valgus correction: a meta-analysis
dc.creator.none.fl_str_mv Clemente P
Mariscal G
Barrios C
author Clemente P
author_facet Clemente P
Mariscal G
Barrios C
author_role author
author2 Mariscal G
Barrios C
author2_role author
author
dc.subject.none.fl_str_mv Chevron osteotomy
Hallux valgus
Distal chevron
Meta-analysis
topic Chevron osteotomy
Hallux valgus
Distal chevron
Meta-analysis
description Introduction Distal chevron osteotomy is commonly used for the operative treatment of hallux valgus (HV). However, there are several operative procedures that can be used to treat HV. The aim of this meta-analysis was to compare the efficacy of distal chevron osteotomy with different operative procedures. Materials and methods A systematic search was conducted using the MEDLINE and EMBASE databases to identify randomized clinical trials (RCTs). The variables were radiological (hallux metatarsal phalangeal angle [HVA] and intermetatarsal angle [IMA]) and clinical (American Orthopaedic Foot & Ankle Society Score [AOFAS]). Heterogeneity was assessed with chi(2) and I-2 statistics. A random effects model was used for significant heterogeneity. Publication bias was evaluated with funnel plots. Results Ten studies involving 985 patients were evaluated in the meta-analysis. Distal chevron osteotomy was associated with a mean IMA correction 2.18 degrees greater than the scarf procedure (MD - 2.18; 95% CI - 3.67, - 0.69; p = 0.004; I-2 = 0%). In addition, the proximal chevron was associated with a mean IMA correction 1.08 degrees greater than the distal chevron (MD - 1.08; 95% CI - 1.86, - 0.29; p = 0.007; I-2 = 0%). The AOFAS assessment showed an overall advantage of 3.2 points in favor of the Lingdren group compared with distal chevron osteotomy (MD 3.20; 95% CI 0.37, 6.04; p = 0.03; I-2 = 0%). Conclusions Our findings indicate that distal chevron osteotomy provides a greater HVA correction than scarf osteotomy, and proximal chevron provides a larger IMA correction than distal chevron osteotomy. Lingdren osteotomy provides a greater AOFAS correction than distal chevron osteotomy.
publishDate 2022
dc.date.none.fl_str_mv 2022
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info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/12957
url https://fisabio.portalinvestigacion.com/publicaciones/12957
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv Journal of Orthopaedic Surgery and Research
ISSN: 1749799X
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
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repository.mail.fl_str_mv
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