Evidence map›Paper›PMID 39249135›Full record

SynthesisArchives of orthopaedic and trauma surgery2024

Correction potential and outcome of various surgical procedures for hallux valgus surgery: a living systematic review and meta-analysis.

S Ettinger, F T Spindler, M Savli, D.A.F. Scientific Committee, Sebastian F Baumbach

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Classification of hallux valgus deformity-is there a standard?Archives of orthopaedic and trauma surgery · 2024
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. [MIS Hallux valgus].Orthopadie (Heidelberg, Germany) · 2026
    Review
  7. Beyond the bunion: Trends in minimally invasive techniques in foot and ankle surgery.Bulletin of the Hospital for Joint Disease (2013) · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Hallux Valgus: Prevalence and Treatment Options.Deutsches Arzteblatt international · 2025
    Article
  13. 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

5 authors.

S EttingerUniversity Hospital for Orthopaedics and Trauma Surgery, Pius-Hospital Oldenburg, Georgstrasse 12, 26121, Oldenburg, Germany.
F T SpindlerDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Ziemssenstraße 5, 80336, Munich, Germany.
M SavliBiostatistik and Consulting Savli, Leutschenbachstrasse 95, 8050, Zurich, Switzerland.
D.A.F. Scientific Committee
Sebastian F BaumbachDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Ziemssenstraße 5, 80336, Munich, Germany. Sebastian.Baumbach@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-6287-6206

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMore than 100 surgical techniques are described for hallux valgus (HV) correction, but the most appropriate technique remains debatable. The aim of this study was to develop and conduct a "living systematic review" for the outcome of surgically treated HV. MATERIALS AND

methodsThe "living systematic review" was conducted per the PRISMA-P and PICOS guidelines and is the basis for the German AWMF S2e guideline "Hallux valgus" (033-018). Four common databases and the grey-literature were searched. Eligible were studies on adult patients comparing either two different primary surgical interventions or the same primary surgical intervention for different hallux valgus severities. The main outcome parameters were the osseous correction potential and the patient rated outcome.

resultsOut of 3022 studies, 46 studies (100 arms) were included. The meta-analysis included 31 studies (53 arms). The IMA (1933 procedures) improved on average by 7.3°, without significant group differences. The HVA (1883 procedures) improved on average by 18.9°, with significantly better results for third generation MIS (21.2°). The AOFAS (1338 procedures) improved on average by 33.8 points without significant group differences. The meta-regression revealed constant AOFAS scores over time. 69%/39% of the correction potential for the IMA/HVA could be explained by the preoperative values and 82% of the AOFAS improvement by the preoperative AOFAS scores.

conclusionOpen and minimally invasive techniques are powerful tools to correct hallux valgus deformity. Third generation MIS procedures revealed a possible superiority for the correction of the HVA. The AOFAS improvement appeared to be constant over time. LEVEL OF EVIDENCE: Level I; living systematic review and meta-analysis of prospective comparative studies (level II) and randomized controlled trials (level I).

Indexed as

Hallux ValgusHumansOsteotomyTreatment OutcomeForefoot deformityHallux valgusLiving systematic reviewMeta-analysis

Identifiers

PMID39249135
PMCPMC11582212

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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.