AI Article Synopsis
- The study compares three fixation methods (plate, headed screw, headless screw) for sliding calcaneal osteotomy in treating hindfoot deformities, focusing on hardware removal, union, and complications.
- A systematic review and meta-analysis were conducted with eight articles out of 1,903 identified, following PRISMA guidelines, using multiple research databases.
- The headless screw method showed the most promising results, having the lowest risks for hardware removal and nonunion, while the headed screw method had the highest infection risk, indicating the need for more extensive future research.
Article Abstract
Introduction Different methods are used to fix a sliding calcaneal osteotomy for hindfoot varus and valgus deformity. However, information about the effectiveness and limitations of each method is limited. In this meta-analysis, we compare the hardware removal rate, union rate, and complications of three different methods of fixation: plate, headed screw, and headless screw. Methods A systematic review and meta-analysis of published articles were carried out, following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. We investigated diverse databases, Web of Science, PubMed, the Cochrane Library, Excerpta Medica database (EMBASE), and Cumulative Index of Nursing and Allied Health Literature (CINAHL), to search articles reporting the use of different calcaneal osteotomy fixations from database inception to October 2021. The primary outcome was the hardware removal rate, and the secondary outcomes of interest were the union rate and complications. Results Of 1,903 articles identified, eight met the inclusion criteria. The highest risk ratio (RR) of the hardware removal rate was detected in the headed screw method (RR: 0.39, 95% confidence interval (CI): 0.26-0.58). However, the highest RR of nonunion was detected in the plate method (RR: 0.02, 95%CI: 0.01-0.07). Regarding complications (infections), the headed screw method presented the highest RR of infection (RR: 0.24, 95%CI: 0.06-0.97). Conclusion This comprehensive review and meta-analysis revealed that the headless screw method may be the most effective fixation option for calcaneal osteotomy with the lowest risk of hardware removal rate, nonunion rate, and complications. Obviously, further studies are needed on a larger number of patients to confirm this finding.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9858884 | PMC |
| http://dx.doi.org/10.7759/cureus.32795 | DOI Listing |
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