Evidence map›Paper›PMID 36352268›Full record

SynthesisArchives of orthopaedic and trauma surgery2023

Role of lateral soft tissue release in percutaneous hallux valgus surgery: a systematic review and meta-analysis of the literature.

Antonio Izzo, Salvatore Vallefuoco, Morena Anna Basso, Robbie Ray, Francesco Smeraglia, Andrea Cozzolino, Massimo Mariconda, Alessio Bernasconi

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Classification of hallux valgus deformity-is there a standard?Archives of orthopaedic and trauma surgery · 2024
    Pooled it
  3. Pooled it
  4. Review
  5. Observational
  6. Review
  7. Article
  8. Minimally invasive Chevron Akin (MICA) osteotomy for severe hallux valgus.Archives of orthopaedic and trauma surgery · 2023
    Article
  9. Review
  10. 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

8 authors.

Antonio IzzoDepartment of Public Health, Trauma and Orthopaedics, University of Naples Federico II, Naples, Italy.ORCID http://orcid.org/0000-0001-5018-3835
Salvatore VallefuocoDepartment of Public Health, Trauma and Orthopaedics, University of Naples Federico II, Naples, Italy.ORCID http://orcid.org/0000-0002-1094-3542
Morena Anna BassoDepartment of Public Health, Trauma and Orthopaedics, University of Naples Federico II, Naples, Italy.ORCID http://orcid.org/0000-0003-3771-4149
Robbie RayKing's Foot and Ankle Unit, King's College Hospital NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-7411-9720
Francesco SmeragliaDepartment of Public Health, Trauma and Orthopaedics, University of Naples Federico II, Naples, Italy.ORCID http://orcid.org/0000-0002-3134-0425
Andrea CozzolinoDepartment of Public Health, Trauma and Orthopaedics, University of Naples Federico II, Naples, Italy.ORCID http://orcid.org/0000-0001-6044-5907
Massimo MaricondaDepartment of Public Health, Trauma and Orthopaedics, University of Naples Federico II, Naples, Italy.ORCID http://orcid.org/0000-0002-9906-5124
Alessio BernasconiDepartment of Public Health, Trauma and Orthopaedics, University of Naples Federico II, Naples, Italy. alessio.bernasconi@unina.it.ORCID http://orcid.org/0000-0002-9427-3178

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is unclear whether lateral soft tissue release (LSTR) is required as part of percutaneous hallux valgus (PHV) surgery. The primary aim of this systematic review was to assess whether LSTR reduces the risk of recurrence of hallux valgus deformity. The secondary aims were to assess if LSTR increases the risk of complications, improves the clinical outcome and leads to a greater radiographic correction.

methodsWe performed a PRISMA-compliant PROSPERO-registered systematic review, pooling clinical papers reporting results after PHV surgery into two categories (PHV with (Group 1, G1) and without LSTR (Group 2, G2)) and comparing them. Data regarding the study design, demographics, the surgical procedure and the clinical and radiological outcome were extracted and compared. Risk of bias was assessed using the modified Coleman Methodology Score (mCMS).

resultsSixteen studies were selected (G1:594 feet; G2:553 feet). The pooled proportion of recurrence at a minimum 21-month follow-up (2%, 95%CI 0-3 vs 2%, 95%CI 0-5; p = 0.70) did not differ in the two groups. Similarly, the pooled proportion of complications (27%, 95%CI 17-38 vs 25%, 95%CI 12-37; p = 0.79) was similar. The pre- (p = 0.23) and post-operative AOFAS scores (p = 0.16), the pre-(HVA: p = 0.23) (IMA: p = 0.94) and post-operative radiological angles (HVA: p = 0.47) (IMA: p = 0.2) and the methodological quality of studies (p = 0.2) did not differ either between G1 and G2.

conclusionThere is no evidence that LSTR performed during percutaneous HV surgery reduces the risk of recurrence of the deformity at a mean 4-year follow-up nor improves the clinical and radiological outcome. LEVEL OF EVIDENCE: Level IV systematic review of Level I to IV studies.

Indexed as

Hallux ValgusMetatarsal BonesHumansOsteotomyRadiographyRetrospective StudiesTreatment OutcomeHallux valgusLateral releaseMeta-analysisMinimally invasivePercutaneous

Identifiers

PMID36352268
PMCPMC10293432

What OpenQuestion holds

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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.