Evidence map›Paper›PMID 37674248›Full record

SynthesisJournal of foot and ankle research2023

Effect of surgical approach on the treatment of Morton's neuroma: a systematic review and meta-analysis.

Jiayao Zhang, Jing Li, Wufeng Cai, Kaiwen Zheng, Xihao Huang, Xin Rong, Qi Li

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of foot and ankle research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Observational
  2. 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.

Jiayao Zhang *Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China.
Jing Li *Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China.
Wufeng CaiDepartment of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China.
Kaiwen ZhengDepartment of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China.
Xihao HuangDepartment of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China.
Xin RongDepartment of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China.
Qi LiDepartment of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China. liqi_sports@scu.edu.cn.

Funding

Department of Science and Technology of Sichuan Province 2023YFG0221
6 · The paper itself

Abstract

backgroundSurgical resection of Morton's neuroma includes dorsal and plantar approaches. However, there is no consensus on the choice of approach in clinic. The purpose of this study was to conduct a systematic review and meta-analysis to compare the surgical results of dorsal and plantar approaches.

methodsThe literatures of PubMed, Cochrane library, Embase and Web of Science were searched on April 26th, 2023. A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The data were extracted after screening the literature and evaluating the quality of the methodology included in the study. The RevMan5.4 software was used to analyze and calculate the OR value and 95% confidence interval.

resultsA total of 7 randomized controlled trials and comparative studies were published, of which only 5 were included. There were 158 feet via plantar approach (plantar group, PG) and 189 via dorsal approach (dorsal group, DG). There was no significant difference between PG and DG in overall adverse events, sensory problems, incision infection and deep vein thrombosis (p > 0.05). In terms of scar problems, PG showed more than DG (OR, 2.90[95%CI, 1.40 to 5.98]; p = 0.004). Other outcome indicators such as visual analogue scale (VAS) scores and American Orthopedic Foot and Ankle Society (AOFAS) scores were difficult to be included in the comparison.

conclusionsBased on the relatively low quality and small amount of available evidence, the meta-analysis conducted produces a hypothesis that the frequency of adverse events in surgical treatment of Morton's neuroma, dorsal approach and plantar approach may be the same, but the types are different. More high-level evidence is needed to further verify this hypothesis.

Indexed as

Morton NeuromaOrthopedicsConsensusHumansLower ExtremitySoftwareDorsal approachMorton’s neuromaPlantar approachSurgery

Identifiers

PMID37674248
PMCPMC10483740

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.