SCARF-Osteotomie

Trnka, Hans-Jörg; Böck, Peter

doi:10.1007/s00132-017-3423-5

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…A scarf osteotomy is indicated at an IMA of up to 20° [29]. It is becoming accepted that the greater the width of the metatarsal head, the greater the potential lateral displacement of the metatarsal osteotomy, extending the potential of a translational osteotomy.…”

Section: Discussionmentioning

confidence: 99%

Hallux Valgus Recurrence After Simple Bunionectomy: Algorithm Treatment

Torrent¹,

Figa²,

Clares

et al. 2022

Preprint

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Background: Recurrences of hallux valgus can be difficult to manage, especially after a prior simple bunionectomy. This study aimed to present a treatment algorithm for the correction of recurrences after a simple bunionectomy.Methods: This was a single-center, descriptive, and retrospective comparative study. Thirty-four consecutive patients were classified according to the bone stock and the presence or absence of end-stage arthritis of the first metatarsophalangeal joint (MTPJ). According to our algorithm, we only performed an osteotomy as the salvage procedure in cases with sufficient bone stock and absence of or mild arthritis. In the other cases, we performed an MTPJ fusion. Exceptionally, we chose a Keller-Brandes arthroplasty for patients with advanced age and comorbidities. Results: We performed 17 scarf osteotomies (50%), 15 MTPJ arthrodeses (44.1%), and 2 Keller-Brandes arthroplasties (5.9%). Following the algorithm, we achieved an improvement of the AOFAS score of >30 points without severe complications in all groups.Conclusions: The proposed operative algorithm successfully addresses the recurrences considering the lack of bone stock and the presence of MTPJ arthritis.Level of EvidenceLevel 3: retrospective comparative study

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Section: Discussionmentioning

confidence: 99%

Hallux Valgus Recurrence After Simple Bunionectomy: Algorithm Treatment

Torrent¹,

Figa²,

Clares

et al. 2022

Preprint

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Chevron osteotomy versus scarf osteotomy for hallux valgus correction: A meta-analysis

Liang

Lü

2019

Foot and Ankle Surgery

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Comparative effects of modified rotary scarf osteotomy and traditional scarf osteotomy in treating moderate to severe hallux valgus: a retrospective cohort study

Li,

Yu,

Lin

et al. 2024

BMC Musculoskelet Disord

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Background Traditional Scarf osteotomy (TSO) is an effective procedure with a good record in moderate to severe hallux valgus (MSHV) surgery. In order to overcome shortcomings of TSO, Modified Rotary Scarf osteotomy (MRSO) was introduced in this study, which aimed to compare the clinical and radiological outcome in the patients treated with MRSO or TSO. Methods Of 175 patients (247 feet) with MSHV, 100 patients (138 feet) treated with MRSO and 75 patients (109 feet) treated with TSO were evaluated according to relevant indicators in twenty-four months follow-up. Pre-surgical and post-surgical HVA, IMA, DMAA, MTP-1 ROM, sesamoid grade and AOFAS (American Orthopaedic Foot and Ankle Society) scores and postsurgical complications were evaluated. Results Both groups manifested similar baseline characters. The mean follow-up was of 25.9 (range, 22–37) months. Significantly lower IMA, lower Sesamoid grade and higher DMAA at six months, twelve months and twenty-four months post-surgically had been showed in MRSO group compared to TSO group. There was no significant difference in HVA, MTP-1 ROM and AOFAS data at each follow-up time point post-surgically between the two groups. No major complications occurred in either group. Conclusion MRSO showed comparable results to TSO, and improved IMA and sesamoid grade to a greater extent, with a lower probability of throughing effect. Although DMAA could be increased by MRSO, MRSO could still be a reproducible, non-dangerous and efficacious alternative procedure for treating HV patients which do not have severe DMAA.

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SCARF-Osteotomie

Cited by 3 publications

References 17 publications

Hallux Valgus Recurrence After Simple Bunionectomy: Algorithm Treatment

Hallux Valgus Recurrence After Simple Bunionectomy: Algorithm Treatment

Chevron osteotomy versus scarf osteotomy for hallux valgus correction: A meta-analysis

Comparative effects of modified rotary scarf osteotomy and traditional scarf osteotomy in treating moderate to severe hallux valgus: a retrospective cohort study

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