Matthieu Lalevee, Floris Van Rooij, Mo Saffarini, Luca Nover, Alexis Nogier, Philippe Beaudet
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引用次数: 0
摘要
目的：综合和批判性评价第一跖骨（M1）近端切骨术治疗无炎症性疾病或退行性关节炎的HV的长期结果的文献，并评估至少随访5年的研究的长期HV复发率。方法：本系统综述遵循PRISMA指南。作者使用PubMed、Embase®和Cochrane Central Register of Controlled Trials数据库进行了检索。研究报告了M1近端截骨治疗非炎症性和非退行性HV的结果，随访时间至少为5年。我们找到了四项符合条件的研究，包括四个数据集，所有研究都评估了近端截骨术，平均随访时间为8至18年。结果：系统检索得到7918条记录，其中重复记录2693条，筛选记录5225条。其中包括四项研究，共覆盖158英尺，平均随访时间为8至18年。近端截骨术后合并HVA为20.4°（CI: 11.3°-29.4°，i2 = 95%），合并IMA为8.8°（CI: 3.3°-14.2°，i2 = 98%），合并AOFAS为82.1 （CI: 62.4-101.8, i2 = 97%）。结论：在M1近端截骨术后至少随访8年，HVA为20.4°，IMA为8.8°。此外，考虑不同HVA阈值的复发率为：bbb30°为12%，>20°为73%，>10°为13%。证据水平：荟萃分析，四级。
Recurrence rates with long-term follow-up after hallux valgus surgical treatment using proximal osteotomies: a systematic review and meta-analysis.
Purpose: To synthesize and critically appraise the literature on long-term outcomes of proximal osteotomies of the first metatarsal (M1) to treat HV without inflammatory disease or degenerative arthritis and to assess the long-term HV recurrence rates of studies with a minimum follow-up of 5 years.
Methods: This systematic review conforms to the PRISMA guidelines. The authors conducted a search using PubMed, Embase®, and Cochrane Central Register of Controlled Trials databases. Studies that report outcomes of proximal osteotomies of the M1 for non-inflammatory and non-degenerative HV at a minimum follow-up of 5 years were included. We found four eligible studies comprising four datasets, and all assessed proximal osteotomies with a mean follow-up that ranged from 8 to 18 years.
Results: The systematic search returned 7,918 records, of which 2,693 were duplicates, leaving 5,225 for screening. Of these, four studies were included, covering a total of 158 feet with a mean follow-up that ranged from 8 to 18 years. The pooled HVA following proximal osteotomies was 20.4° (CI: 11.3°-29.4°; I 2 = 95%), pooled IMA was 8.8° (CI: 3.3°-14.2°; I 2 = 98%), and pooled AOFAS was 82.1 (CI: 62.4-101.8; I 2 = 97%).
Conclusions: At a minimum follow-up of 8 years following proximal osteotomies of M1, the HVA was 20.4° and the IMA was 8.8°. Furthermore, the recurrence rates considering the various thresholds of HVA were 12% having >30°, 73% having >20°, and 13% if recurrence is a >10° increase in HVA.
期刊介绍：
EFORT Open Reviews publishes high-quality instructional review articles across the whole field of orthopaedics and traumatology. Commissioned, peer-reviewed articles from international experts summarize current knowledge and practice in orthopaedics, with the aim of providing systematic coverage of the field. All articles undergo rigorous scientific editing to ensure the highest standards of accuracy and clarity.
This continuously published online journal is fully open access and will provide integrated CME. It is an authoritative resource for educating trainees and supports practising orthopaedic surgeons in keeping informed about the latest clinical and scientific advances.
One print issue containing a selection of papers from the journal will be published each year to coincide with the EFORT Annual Congress.
EFORT Open Reviews is the official journal of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and is published in partnership with The British Editorial Society of Bone & Joint Surgery.
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