Comparison of distal minimally invasive metatarsal osteotomy and open chevron osteotomy in the treatment of hallux valgus (HV): A network meta-analysis.
Congqiang Rao, Xiaolian Lu, Binggang Xiong et al.
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In 30 seconds
This network meta-analysis compared the effectiveness of distal minimally invasive metatarsal osteotomy and open chevron osteotomy for treating hallux valgus in 842 patients. Results indicated that minimally invasive transverse osteotomy significantly improved the hallux valgus angle (HVA) by -1.5 degrees and the intermetatarsal angle (IMA) by -0.76 degrees compared to open chevron osteotomy.
Key findings
- Minimally invasive transverse osteotomy improved HVA by -1.5 degrees (95% CI: -2.5, -0.39).
- Minimally invasive transverse osteotomy improved IMA by -0.76 degrees (95% CI: -1.3, -0.20).
- Minimally invasive chevron osteotomy improved DMAA by -5.8 degrees (95% CI: -8 to -3.7).
- Minimally invasive chevron osteotomy ranked highest for AOFAS score (SUCRA=81.53%).
Why it matters
Understanding the comparative effectiveness of surgical techniques for hallux valgus can guide clinicians in selecting appropriate interventions, potentially leading to better patient outcomes in terms of both radiographic correction and functional improvement.