手术治疗拇外翻畸形的不良结局：系统文献回顾。

Unfavorable Outcomes Following Surgical Treatment of Hallux Valgus Deformity: A Systematic Literature Review.

机构信息

Department of Orthopaedics (A.B., J.R.H., and C.L.S.) and Division of Epidemiology, Department of Internal Medicine (A.P.P. and C.Z.), University of Utah, Salt Lake City, Utah.

Spencer S. Eccles Health Sciences Library, Salt Lake City, Utah.

出版信息

J Bone Joint Surg Am. 2018 Sep 19;100(18):1563-1573. doi: 10.2106/JBJS.17.00975.

DOI:10.2106/JBJS.17.00975

PMID:30234626

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6636801/

Abstract

BACKGROUND

Surgical correction of deformity plays a central role in the treatment of hallux valgus deformity. However, complications or unintended outcomes are frequently noted in clinical series. There has been no rigorous systematic review of studies reporting outcomes of surgical treatment for hallux valgus deformity, to the best of our knowledge.

METHODS

We performed a systematic review of studies reporting the outcomes of surgical correction for hallux valgus deformity.

RESULTS

A total of 229 studies met the inclusion criteria. The pooled rates of postoperative patient dissatisfaction and postoperative first metatarsophalangeal pain were 10.6% and 1.5%, respectively. The overall rate of recurrent deformity was 4.9%.

CONCLUSIONS

Hallux valgus surgery has been reported to have fairly consistent results and rates of complications or unfavorable outcomes.

LEVEL OF EVIDENCE

Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

摘要

背景

手术矫正是治疗拇外翻畸形的核心手段。然而，临床系列研究中经常会出现并发症或非预期结果。据我们所知，目前还没有针对拇外翻畸形手术治疗结果的严格系统评价研究。

方法

我们对报道拇外翻畸形手术矫正结果的研究进行了系统评价。

结果

共有 229 项研究符合纳入标准。术后患者不满意和术后第一跖趾关节疼痛的累积发生率分别为 10.6%和 1.5%。总的畸形复发率为 4.9%。

结论

拇外翻手术的报道结果具有相当的一致性，并发症或不良结果的发生率也较为一致。

证据等级

治疗性 IV 级。有关证据等级的完整描述，请参见作者说明。

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Comparison of distal soft-tissue procedures combined with a distal chevron osteotomy for moderate to severe hallux valgus: first web-space versus transarticular approach.

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手术治疗拇外翻畸形的不良结局：系统文献回顾。

Unfavorable Outcomes Following Surgical Treatment of Hallux Valgus Deformity: A Systematic Literature Review.

机构信息

Department of Orthopaedics (A.B., J.R.H., and C.L.S.) and Division of Epidemiology, Department of Internal Medicine (A.P.P. and C.Z.), University of Utah, Salt Lake City, Utah.

Spencer S. Eccles Health Sciences Library, Salt Lake City, Utah.

出版信息

J Bone Joint Surg Am. 2018 Sep 19;100(18):1563-1573. doi: 10.2106/JBJS.17.00975.

DOI:10.2106/JBJS.17.00975

PMID:30234626

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6636801/

Abstract

BACKGROUND

METHODS

We performed a systematic review of studies reporting the outcomes of surgical correction for hallux valgus deformity.

RESULTS

CONCLUSIONS

Hallux valgus surgery has been reported to have fairly consistent results and rates of complications or unfavorable outcomes.

LEVEL OF EVIDENCE

Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

摘要

背景

方法

我们对报道拇外翻畸形手术矫正结果的研究进行了系统评价。

结果

共有 229 项研究符合纳入标准。术后患者不满意和术后第一跖趾关节疼痛的累积发生率分别为 10.6%和 1.5%。总的畸形复发率为 4.9%。

结论

拇外翻手术的报道结果具有相当的一致性，并发症或不良结果的发生率也较为一致。

证据等级

治疗性 IV 级。有关证据等级的完整描述，请参见作者说明。

手术治疗拇外翻畸形的不良结局：系统文献回顾。

Unfavorable Outcomes Following Surgical Treatment of Hallux Valgus Deformity: A Systematic Literature Review.

机构信息

出版信息

BACKGROUND

METHODS

RESULTS

CONCLUSIONS

LEVEL OF EVIDENCE

背景

方法

结果

结论

证据等级

相似文献

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手术治疗拇外翻畸形的不良结局：系统文献回顾。

Unfavorable Outcomes Following Surgical Treatment of Hallux Valgus Deformity: A Systematic Literature Review.

机构信息

出版信息

BACKGROUND

METHODS

RESULTS

CONCLUSIONS

LEVEL OF EVIDENCE

背景

方法

结果

结论

证据等级