Orthopaedic Hospital Speising, Speisingerstrasse 109, 1130, Vienna, Austria.
Int Orthop. 2013 Sep;37(9):1731-5. doi: 10.1007/s00264-013-2077-0. Epub 2013 Aug 29.
This systematic review aims to illustrate the published results of "minimally invasive" procedures for correction of hallux valgus. Based on former systematic reviews on that topic, the literature search was organised by two independent investigators. MEDLINE was systematically searched for available studies. The keywords used were "hallux valgus", "bunion", "percutaneous surgery", "minimally invasive surgery", "arthroscopy", "Bosch" and "SERI". Studies were assessed using the level of evidence rating. A total of 21 papers were included in this review. These studies described a total of 1,750 patients with 2,195 instances of percutaneous, minimally invasive or arthroscopic hallux valgus surgery. Clinical reports of results after minimally invasive hallux valgus surgery at meetings are common. Published results in peer-reviewed journals are less common and the majority of papers are level IV studies according to the level of evidence ratings. We found one level II and three level III studies. Reported complications seem to be less than one may see in one's own clinical practice. This possible bias may be related to the fact that most studies are published by centres performing primarily minimally invasive hallux valgus surgery.
本系统评价旨在说明已发表的“微创”手术矫正拇外翻的结果。基于该主题的先前系统评价，由两名独立研究人员组织文献检索。对 MEDLINE 进行了系统搜索，以获取可用的研究。使用的关键词为“拇外翻”、“囊炎”、“经皮手术”、“微创手术”、“关节镜检查”、“Bosch”和“SERI”。使用证据等级评估来评估研究。本综述共纳入 21 篇论文。这些研究共描述了 1750 例患者的 2195 例经皮、微创或关节镜下拇外翻手术。在会议上经常报告微创拇外翻手术后的临床结果报告。在同行评议期刊上发表的结果则较少，根据证据等级评估，大多数论文为 IV 级研究。我们发现了一项 II 级和三项 III 级研究。报告的并发症似乎比在自己的临床实践中看到的要少。这种可能的偏差可能与以下事实有关：大多数研究是由主要进行微创拇外翻手术的中心发表的。
