Evidence map›Paper›PMID 39954134›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Single metatarsal percutaneous distal metatarsal osteotomy (DMMO) for 3

Alirio J deMeireles, Mariano de Prado, Jamie Confino, Mahant Malempati, Ettore Vulcano

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Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Alirio J deMeirelesColumbia University Irving Medical Center, New York, NY, USA.
Mariano de PradoDepartment Orthopaedics and Trauma Surgery, University Hospital Quiron Murcia, C/ Miguel Hernandez 12. 30011, Murcia, Spain.
Jamie ConfinoColumbia University Irving Medical Center, New York, NY, USA.
Mahant MalempatiColumbia University Irving Medical Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-2179-3997
Ettore VulcanoColumbia University Orthopaedics at Mount Sinai Medical Center, 4302 Alton Rd, Ste 220, Miami Beach, FL, 33140, USA. Ettore.vulcano@msmc.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMorton's interdigital neuroma (MN) is a common compression neuropathy of an interdigital nerve in the foot. We present retrospective treatment outcomes with a novel modification of the de Prado technique for distal minimally invasive metatarsal osteotomy (DMMO).

methodsWe retrospectively reviewed 25 consecutive patients (25 neuromas) with MRI- or US-confirmed MN who underwent DMMO of only the 4th metatarsal with deep transverse intermetatarsal ligament release with a minimum one-year follow-up after the failure of non-operative treatment. Patient-reported outcome measures (PROMs) were assessed using the Visual Analog Scale (VAS) and the Foot Function Index (FFI). Statistical analysis was performed to assess for differences among sub-groups.

resultsA significant decrease is reported post-operatively in all PROMs evaluated. Pre- and post-intervention mean VAS scores were 7.35 and 0.41, respectively (p < 0.001). Pre- and post-intervention FFI Total scores were 57.5 and 17.2, respectively (p < 0.001). All pre- and post-intervention FFI sub-scores were found to be significantly reduced (P < 0.001). There was one case of prolonged serous (non-infected) drainage, which resolved by three weeks postoperatively.

conclusionsThe data presented demonstrates that our novel operative technique significantly improved patient-reported outcomes irrespective of initial neuroma size, patient sex, or comorbidities. LEVEL OF EVIDENCE: IV.

Indexed as

Metatarsal BonesMorton NeuromaOsteotomyAdultAgedFemaleHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresPatient Reported Outcome MeasuresRetrospective StudiesTreatment OutcomeDistalMetatarsalMinimally invasiveMortonNeuromaOsteotomy

Identifiers

PMID39954134

What OpenQuestion holds

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Registered trials

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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.