TABLE VIII.
Rate of Postoperative Metatarsalgia by Surgery Type
| Surgery Type | No. of Studies (N = 54) | No. of Patients (N = 2,707) | Total No. of Patients Affected | % of Patients Affected (95% CI) | I2 | P Value* |
| Distal osteotomy | 25 (46.3%) | 1,201 (44.4%) | 166 | 10.8 (6.5-16) | 90% | <0.001 |
| Proximal osteotomy | 6 (11.1%) | 264 (9.8%) | 34 | 8.2 (2.1-17.8) | 80% | <0.001 |
| Shaft osteotomy | 3 (5.6%) | 118 (4.4%) | 0 | 0 (0-0.8) | 0% | 1 |
| Joint hemiresection | 5 (9.3%) | 243 (9.0%) | 43 | 17.4 (12.8-22.6) | 10% | 0.51 |
| Simple bunionectomy | 4 (7.4%) | 199 (7.4%) | 11 | 0.8 (0-7.6) | 80% | 0.009 |
| Shaft and Akin osteotomies | 2 (3.7%) | 73 (2.7%) | 2 | 2.6 (0.2-7.5) | 0% | 0.86 |
| Proximal and Akin osteotomies | 2 (3.7%) | 140 (5.2%) | 4 | 1.2 (0-8.8) | 80% | 0.13 |
| First TMT arthrodesis† | 7 (13.0%) | 469 (17.3%) | 7 | 0.6 (0-2.6) | 70% | 0.006 |
| Other | 54 | 2,707 | 267 | 6.3 (4-9.2) | 90% | <0.001 |
*
Cochran test for heterogeneity of studies within each surgery type.
†
TMT = tarsometatarsal.