Revision surgeries for failed hallux valgus correction: A systematic review

Area of Science:

• Orthopedic Surgery
• Foot and Ankle Surgery
• Reconstructive Surgery

Background:

• Hallux valgus (HV) correction failures are common and challenging to manage.
• Existing literature on revision surgery for failed HV correction is limited.
• This systematic review addresses the evidence gap regarding revision HV surgery.

Purpose of the Study:

• To systematically review the current evidence on revision surgery for failed hallux valgus correction.
• To analyze clinical presentation, indications, surgical strategies, and outcomes of revision HV surgery.

Main Methods:

• Systematic review conducted following PRISMA guidelines.
• Searched PubMed, EMBASE, Google Scholar, and Scopus databases (November 2020).
• Included clinical studies reporting quantitative data on revision for failed HV correction.

Main Results:

• Analyzed data from 20 studies (586 procedures).
• Significant reductions observed in HV angle (17.8°), intermetatarsal angle (3.3°), and distal metatarsal articular angle (7.3°).
• Improved American Orthopaedic Foot & Ankle Society scores (24.7%) and visual analogue scale (40.8%).
• Complications included recurrence (5.1%), non-union (4.1%), and need for further surgery (8.7%).

Conclusions:

• Revision surgery for failed hallux valgus correction can yield satisfactory outcomes.
• Thorough preoperative assessment is crucial to identify failure causes.
• Addressing specific failure causes optimizes revision surgery results.