TABLE VII.
Rate of Persisting Postoperative Pain (VAS ≥5) by Surgery Type
| Surgery Type | No. of Studies (N = 120) | No. of Patients (N = 7,303) | Total No. of Patients Affected | % of Patients Affected (95% CI) | I2 | P Value* |
| Distal osteotomy | 58 (48.3%) | 3,815 (52.2%) | 103 | 0.8 (0.2-1.7) | 80% | <0.001 |
| Proximal osteotomy | 10 (8.3%) | 336 (4.6%) | 12 | 1.1 (0-4.6) | 80% | <0.001 |
| Shaft osteotomy | 6 (5.0%) | 371 (5.1%) | 7 | 1.3 (0-4.9) | 80% | 0.001 |
| Joint hemiresection | 15 (12.5%) | 851 (11.7%) | 78 | 4.6 (0.8-11.3) | 90% | <0.001 |
| Simple bunionectomy | 11 (9.2%) | 551 (7.5%) | 24 | 2.5 (0.2-7.1) | 90% | <0.001 |
| Shaft and Akin osteotomies | 2 (1.7%) | 143 (2.0%) | 5 | 1.5 (0-11.8) | 90% | 0.028 |
| Proximal and Akin osteotomies | 2 (1.7%) | 208 (2.8%) | 5 | 1.4 (0-12.3) | 90% | 0.003 |
| First TMT arthrodesis† | 2 (1.7%) | 83 (1.1%) | 0 | 0 (0-1.2) | 0% | 1 |
| Other | 14 (11.7%) | 945 (12.9%) | 56 | 3 (0.6-7.4) | 90% | <0.001 |
| Total | 120 | 7,303 | 290 | 1.5 (0.8-2.4) | 90% | <0.001 |
*
Cochran test for heterogeneity of studies within each surgery type.
†
TMT = tarsometatarsal.