Hallux Valgus in the Elderly: Metatarsophalangeal Arthrodesis of the First Ray

Scarf osteotomy versus metatarsophalangeal arthrodesis in forefoot first ray disorders: Comparison of functional outcomes

“…The AOFAS results for walking distance were better with osteotomy; 100% of the osteotomy patients had an unlimited walking distance, compared to 80% of the patients with arthrodesis. A limitation in walking distance was found in 10 to 15% patients with arthrodesis in other studies [7,8]. Moreover, patients who underwent an osteotomy had less difficulty on irregular terrain or climbing, which explains why a greater proportion practiced an activity such as hiking.…”

“…A faulty position is reported in 3 to 20% of cases of arthrodesis [6], overloading of the interphalangeal joint in 5 [7] to 17% [8] and pseudarthrosis in 0 [7,8] to 8% [17]. Hammel et al [18] reported surgical site infections in 0.8% of Scarf M1 osteotomies, delayed union in 5.7%, significant stiffness in 1.3% at 1 year, secondary displacement in 1.1%, broken internal fixation material in 0.4% and indications for revision surgery for recurrent hallux valgus in 0.2%.…”

“…As a result we know the rate of complications [5], satisfaction [6], pain [7], and walking distance [8]. Nevertheless, these studies do not compare one type of surgical procedure to another.…”

Forefoot Surgery in Elderly Compared With Younger Patient Populations: Complications and Type of Procedure

“…In most series focusing on the elderly, MTP1 fusion (Fig. 2) has been the technique of choice to treat hallux valgus or rigidus (18)(19)(20). In 20% of our "old elderly" group, the first ray was managed by joint-sparing surgery, with very good results (Fig.…”

Ostéotomie de type Scarf versus arthrodèse métatarsophalangienne dans la pathologie du premier rayon : comparaison des résultats fonctionnels

“…Nous disposons ainsi des résultats concernant les taux de complications [5], la satisfaction [6], la douleur [7], le périmètre de marche [8]. Toutefois, il ne s'agit pas d'études visant à comparer un geste chirurgical par rapport à un autre.…”