Table 3.
List of complications extracted from the studies included in this review
| Authors (year) | Complications (including recurrence) |
|---|---|
| With LSTR | |
| Barragan-Hervella (2008) et al. [23] |
8 (27.5%) o 2 (7%) persistent oedema o 4 (13%) persistent pain o 2 (7.5%) wound dehiescence |
| Lai (2018) et al. [10] | No Complication reported |
| Crespo-Romero et al. (2018) [24] |
55 (41.6%) o 9 (6.8%) superficial infection o 4 (3%) stiffness o 3 (2.3%) reflex sympathetic distrophia o 3 (2.3%) neuromas o after dmmo: 2/61 (3.2%) pseudoarthrosis o after dmmo 5/61 (8.1%) transfer metatarsalgia o after dmmo 7/61 (11.4%) recurrence metatarsalgia o 22 (16.7%) recurrence (medial pain) |
| Kaufmann et al. (2019) [8, 11] |
13 (52%) o 12 (48%) soft-tissue irritation caused by the Kirschner wire o 1 (4%) recurrence (‘mild recurrence of deformity’) |
| Liuni et al. (2020) [25] |
9 (15%) o 5 (8.6%) metatarsalgia o 3 (5.1%) severe stiffness 5.1% o 1 (1.7%) persistent paresthesia |
| Maniglio et al. (2019) [26] |
13 (30%) o 2 (4%) nonunion o 4 (10%) metatarsalgia o 1 (2%) metatarsal stress fracture o 1 (2%) secondary toe deformity o 3 (7%) early K-wire removal due to soft-tissue inflammation o 2 (4%) recurrence |
| Severyns et al. (2019) [27] |
15 (26.3%) o 4 (7%) transfer metatarsalgia o 1 (1.7%) deep vein thrombosis o 2 (3.5%) recurrence o 5 (8.7%) wound dehiescence o 3 (5.2%) self-resolving paresthesia |
| Kaufmann et al. (2020) [28] |
16 (84%) o 16 (84%) soft-tissue irritation caused by the Kirschner wire (of which 2 (10%) recurrence) |
| Del Vecchio et al. (2021) [29] |
6 (5.2%) o 1 (0.8%) transfer metatarsalgia o 3 (2.6%) soft tissue irritation o 1 (0.8%) superficial infection |
| Marijuschkin et al. (2021) [30] |
6 (17.6%) Isham technique o 3 (8.3%) joint stiffness o 3 (8.3%) symptomatic callus 7 (20%) Chevron technique o 3 (8%) irritation from metalwork o 1 (3%) fistula o 1 (3%) joint stiffness o 2 (5%) transfer metatarsalgia |
| Torrent et al. (2021) [13] |
3 (10%) o 1 (3.3%) skin irritation o 2 (6.6%) recurrence |
| Without LSTR | |
| Valles-Figueroa et al. (2010) [31] |
10 (25%) o 2 (12.5%) persistent pain o 2 (12.5%) recurrence of the deformity |
| Sun et al. (2010) [32] |
70 (46%) o 62 (41%) transfer metatarsalgia o 8 (5%) recurrence (persistent valgus) |
| Radwan and Mansour (2012) [33] |
4 (14%) o 2 (6.9%) pin infection o 2 (6.9%) joint stiffness |
| Faour-Martín et al. (2013) [34] |
24 (20%) o 3 (2.6%) skin irritation o 2 (1.7%) deep infections o 16 (13.9%) joint stiffness o 3 (2.6%) recurrence (> 25° for HVA) |
| Siddiqui et al. (2021) [35] |
68 (30.6%) o 42 (19.4%) pin site infection o 8 (3.7%) nerve-related numbness o 6 (2.8%) hardware failure o 3 (1.4%) asymptomatic malunion o 3 (1.4%) delayed union o 1 (0.5%) sesamoiditis o 5 (2.3%) bunion recurrence |
Dmmo distal metatarsal metaphyseal osteotomy, HVA Hallux Valgus Angle