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Abstract

[Indexed for MEDLINE] 20. Surgeon. 2021 Dec;19(6):e497-e506. doi: 10.1016/j.surge.2020.11.010. Epub 2021 Jan 7. Revision surgeries for failed hallux valgus correction: A systematic review. Migliorini F(1), Eschweiler J(2), Tingart M(3), Maffulli N(4). Author information: (1)Department of Orthopaedics, University Clinic Aachen, RWTH Aachen University Clinic, Aachen, Germany. Electronic address: migliorini.md@gmail.com. (2)Department of Orthopaedics, University Clinic Aachen, RWTH Aachen University Clinic, Aachen, Germany. Electronic address: joeschweiler@ukaachen.de. (3)Department of Orthopaedics, University Clinic Aachen, RWTH Aachen University Clinic, Aachen, Germany. Electronic address: mtingart@ukaachen.de. (4)Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081, Baronissi, SA, Italy; School of Pharmacy and Bioengineering, Keele University School of Medicine, Thornburrow Drive, Stoke on Trent, UK; Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, 275 Bancroft Road, London, E1 4DG, UK. Electronic address: n.maffulli@qmul.ac.uk. BACKGROUND: Failure of hallux valgus (HV) correction is not uncommon, and its management can be challenging. The available literature is not exhaustive. Therefore, we conducted a systematic review to investigate the current evidence on the role of revision surgery for failed HV correction, including clinical presentation, indications, surgical strategies and outcomes. MATERIAL AND METHODS: The present systematic review was performed according to the PRISMA guidelines. Pubmed, EMBASE, Google Scholar and Scopus online databases were accessed in November 2020. All the clinical studies on revision for failed HV correction were analysed, and only studies reporting quantitative data under the outcomes of interest were considered for inclusion. RESULTS: Data from 20 studies (586 procedures) were retrieved. The HV angle, the intermetatarsal angle and the distal metatarsal articular angle were reduced of 17.8° (P