Evidence map›Paper›PMID 30218181›Full record

SynthesisInternational orthopaedics2019

Minimally invasive surgery for hallux valgus: a systematic review of current surgical techniques.

Francesc Malagelada, Cyrus Sahirad, Miki Dalmau-Pastor, Jordi Vega, Rej Bhumbra, Maria Cristina Manzanares-Céspedes, Olivier Laffenêtre

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 5 pooled it
11.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 5 syntheses or guidelines pooled it, 159 citations in OpenAlex.

  1. Pooled it
  2. Surgical interventions for treating hallux valgus and bunions.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
  4. The effect of hallux valgus open and percutaneous surgery on AOFAS scale: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Review
  11. [MIS Hallux valgus].Orthopadie (Heidelberg, Germany) · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. [Five myths around hallux valgus].Orthopadie (Heidelberg, Germany) · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. [Early effectiveness of modified minimally invasive Chevron-Akin osteotomy for moderate to severe hallux valgus].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Francesc MalageladaOrthopaedic and Trauma Surgery, Royal London Hospital, Barts Health NHS Trust, London, UK. fmalagelada@gmail.com.
Cyrus SahiradUniversity of Sheffield, Sheffield, UK.
Miki Dalmau-PastorLaboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy and Embryology Unit), University of Barcelona, Barcelona, Spain.
Jordi VegaLaboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy and Embryology Unit), University of Barcelona, Barcelona, Spain.
Rej BhumbraOrthopaedic and Trauma Surgery, Royal London Hospital, Barts Health NHS Trust, London, UK.
Maria Cristina Manzanares-CéspedesLaboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy and Embryology Unit), University of Barcelona, Barcelona, Spain.
Olivier LaffenêtreClinique Geoffroy St Hilaire, Paris, France.
Universitat de Barcelona · ESBarts Health NHS Trust · GBUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to systematically evaluate the available literature on minimally invasive surgical (MIS) treatment for hallux valgus and to provide an overview of the different surgical techniques.

methodsA systematic review of the literature available in MEDLINE, EMBASE, and the Cochrane database was performed including studies from January 2001 to 1 January 2018. The radiological outcomes (hallux valgus angle (HVA), intermetatarsal angle (IMA)), complication rates, and clinical outcome scores were evaluated. The MINORS scale was used to assess the methodological quality of included articles.

resultsOf 278 reviewed articles, 23 met the inclusion criteria. The included studies reported on the results of 2279 procedures in 1762 patients. The surgical techniques were divided into five categories: the Bosch technique, MIS Chevron-Akin, Reverdin-Isham procedure, Endolog system, and techniques involving distal soft tissue release and fixation. Results regarding radiological correction, clinical outcomes, and complication rate varied widely.

conclusionsThe studies included were of too little level of evidence to allow for data pooling or meta-analysis. There were too few studies on each surgical technique category to assess whether one is more effective than the rest. However, there is some evidence that the Chevron and Akin showed the most potential for improvement of the HVA and the Endolog for the IMA. An overall complication rate of 13% was obtained among all included studies. Appropriately powered randomized controlled trials, utilizing validated outcome measures, blinded assessors, and long-term follow up are needed to assess the efficacy of MIS techniques.

Indexed as

Hallux ValgusHumansMinimally Invasive Surgical ProceduresOsteotomyTreatment OutcomeArthroscopyHallux valgusMetatarsalMinimally invasive surgical proceduresMinimum incisionOsteotomyPercutaneous

Identifiers

PMID30218181
OpenAlexW2892274453

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.