Research Article

Comparison of Bioabsorbable Magnesium versus Titanium Screw Fixation for Modified Distal Chevron Osteotomy in Hallux Valgus

Table 4

List of previously reported clinical studies on the use of magnesium screws in modified chevron osteotomy (RCT: randomized clinical trial, SF-36: Short Form-36, VAS: visual analogue scale, NRS: numeric rating scale, FAAM: foot and ankle ability measurement).

AuthorYearStudy design# patientsOutcome measuresFollow-upā€‰
(mean)
Rate of implantā€‰
removal
Complications

Windhagen H et al. [14] 2013RCT (Mg. vs. Ti.)26
(13/13)
AOFAS-MTP-IP6 months1 in Ti. group
(7.7%)
None

Plass C et al. [15]2016Prospective case-series
(Mg. group only)
45AOFAS-MTP-IP
NRS
FAAM
SF-36
n: 39, 6 weeks
n: 23, 12 weeks
n:8, >26 weeks
None1 relapse
1 hallux varus

Plass C et al. [16]2017RCT (Mg. vs. Ti.)26
(13/13)
AOFAS-MTP-IP
FAAM
SF-36
VAS
3 years1 in Ti. group
(7.7%)
None

Klauser H. [17]2018Retrospective comparison
(Mg. vs. Ti.)
200
(100/100)
Clinical findingsMg. group: 12.2 weeks
Ti. group: 11.7 weeks
NoneSoft tissue irritation: 1 vs. 0
Delayed wound healing: 4 vs. 3
Deep infection: 1 vs. 2
Screw fracture: 0 vs. 1

Current study2018Retrospective comparison
(Mg. vs. Ti.)
31
(16/15)
AOFAS-MTP-IP
VAS
17.6 months1 in Ti. group
(5.8%)
Prolonged swelling: 1 vs. 0