Outcome of the scarf osteotomy in adolescent hallux valgus

George, Harvey; Casaletto, John A.; Unnikrishnan, P N; Shivratri, D.; James, Leroy; Bass, A.; Bruce, Colin

doi:10.1007/s11832-009-0177-6

Cited by 36 publications

(49 citation statements)

References 26 publications

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“…In our study, the modified scarf osteotomy could effectively correct the DMAA, restore the matching of metatarsus and toe joints, and reduce the postoperative recurrence rate. Moreover, the addition of Akin osteotomy can increase the corrective abilities of the scarf osteotomy. An additional Akin osteotomy was also performed in our study if hallux valgus deformity was not completely corrected.…”

Section: Discussionmentioning

confidence: 98%

“…A previous study has confirmed that scarf osteotomy has a better corrective ability for hallux valgus deformity compared with the distal metatarsal osteotomy. Moreover, the scarf osteotomy has been suggested to treat adolescent hallux valgus deformity because this surgery allows rotational correction in addition to translation; however, mixed results were obtained from different studies. In detail, John et al .…”

Section: Introductionmentioning

confidence: 99%

“…After completing the scarf osteotomy and soft tissue reconstruction, the Akin osteotomy is always performed when the hallux is still more than 10° valgus. The addition of Akin osteotomy can increase the corrective abilities of the scarf osteotomy. An additional Akin osteotomy was also performed in our study if hallux valgus deformity was not completely corrected.…”

Section: Introductionmentioning

confidence: 99%

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Scarf Osteotomy for Correction of Hallux Valgus Deformity in Adolescents

Wang

Qu²,

et al. 2019

Orthopaedic Surgery

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ObjectiveTo report the radiological and clinical outcomes of the modified scarf osteotomy for the treatment of hallux valgus deformity in adolescents.MethodsThis retrospective study analyzed 21 patients (31 feet) who underwent a modified scarf osteotomy for correcting juvenile hallux valgus deformity between March 2015 and January 2017. There were 3 male (3 feet) and 18 female (28 feet) patients. The average age at the time of surgery was 28.6 years (range, 20–35). Patients were postoperatively followed up in the outpatient department for 12–18 months. Clinical and radiological assessments were performed preoperatively and postoperatively at 1 year. Moreover, postoperative complications were recorded. Statistical analyses for differences between preoperative and postoperative values were performed.ResultsAll the 21 patients were postoperatively followed up for 12–18 months, with an average of 13.2 ± 2.5 months. Clinical assessment showed that the American Orthopaedic Foot and Ankle Society score was increased from preoperative 58.0 ± 5.8 to postoperative 94.2 ± 6.6 points, respectively, and the visual analog scale score was remarkably decreased from preoperative 6.0 ± 2.0 to postoperative 1.5 ± 2.0 points at 1 year follow‐up. Further radiological assessment showed that the hallux valgus angle was 37.5° ± 9.2°, 14.1° ± 6.5°, and 14.5° ± 6.5° before surgery, half a year after surgery, and 1 year after surgery, respectively; the intermetatarsal angle was 14.1° ± 4.4°, 4.8° ± 3.2°, and 5.5° ± 4.9°, respectively; and the distal metatarsal articular angle was 31.0° ± 3.5°, 7.2° ± 2.3°, and 7.5° ± 2.1°, respectively. They were significantly improved at half a year after surgery and 1 year after surgery compared to those before surgery. Complications occurred in two patients (9.5%) who had numbness on the skin of the edge of the medial incision, and the symptoms were relieved after 10 months. There was no clinical recurrence in all patients. One of the 31 feet had hallux varus, which was corrected in a second operation. Notably, a postoperative radiograph of a typical case whose both feet had hallux valgus deformity and underwent modified scarf osteotomy and additional Akin osteotomy showed adequate correction of the hallux valgus angle (HVA, 11°), intermetatarsal angle (IMA, 6°), and distal metatarsal articular angle (DMAA, 8°) on left foot compared to preoperative HVA (28°), IMA (13°), and DMAA (35°).ConclusionThe modified scarf osteotomy can effectively correct the adolescent hallux valgus deformity, which is worth popularizing.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Scarf Osteotomy for Correction of Hallux Valgus Deformity in Adolescents

Wang

Qu²,

et al. 2019

Orthopaedic Surgery

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“…The mean age at the time of surgery was 14.1 years (range 10-17 years). Previous studies have included patients from the age of 9 through to 18 years with comparable mean ages [9][10][11]. These studies have not attempted to differentiate between those patients with an open physis or not, presumably because of the variable age at closure and the difficulty in making this distinction radiographically when closure is occurring.…”

Section: Methodsmentioning

confidence: 99%

Scarf osteotomy in the management of symptomatic adolescent hallux valgus

Farrar

Duncan

Ahmed

et al. 2012

Journal of Children's Orthopaedics

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We have presented the results of the largest case series of scarf osteotomies for adolescent hallux valgus reported in the literature up to now, as far as we are aware. AOFAS scores at final follow up are comparable to the smaller studies previously reported and provide evidence that good outcomes and high levels of patient satisfaction can be achieved. Early follow up demonstrates a low level of symptomatic recurrence, but longer term data are still required.

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“…Пациенты были обследованы до опера-ции, затем через 3, 6 и 12 месяцев после нее. Данная кратность обследования соответствовала реко-мендациям ведущих зарубежных и отечественных клиник [1,4,11]. Для объективизации оценки ре-зультатов хирургического лечения использовали балльную оценочную шкалу, рекомендованную Американским ортопедическим обществом хирур-гии стопы и голеностопного сустава (AOFAS).…”

Section: материал и методыunclassified

Efficacy of Bilateral Simultaneous Hallux Valgus Correction Compared to Unilateral

et al. 2015

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Hallux valgus usually affects women and can be found in 23% to 28% of adults. 6,16,17 It is reported to be bilateral in 84% of cases 4 ; the majority of patients require surgical correction on both feet, which can be performed simultaneously or in stages. Contemporary fixation and modern surgical techniques render it possible to avoid using splints and crutches, making simultaneous, bilateral correction tolerable for a patient. 3 Nevertheless, there is still no consensus regarding simultaneous bilateral surgery for hallux valgus. More than 1500 publications concerning hallux valgus correction can be found in the literature; however, only a few are dedicated to the possibility of bilateral surgery, and their conclusions are rather controversial. Some authors reported that bilateral pathology should be operated in stages in order to protect the operated foot. 18 Others suggested that simultaneous hallux valgus correction may increase the risk of postoperative complications, although that was not proven in their study. 15 Several studies have indicated that bilateral surgery neither worsens functional and radiographic results 7,12 nor increases the complication rate. 8,11 Consequently, this study aimed to compare and contrast the results of bilateral and unilateral correction of hallux valgus.

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Outcome of the scarf osteotomy in adolescent hallux valgus

Abstract: This study indicates that scarf osteotomy should be used with caution in symptomatic adolescent hallux valgus, as there is a high recurrence rate.

Cited by 36 publications

References 26 publications

Scarf Osteotomy for Correction of Hallux Valgus Deformity in Adolescents

Scarf Osteotomy for Correction of Hallux Valgus Deformity in Adolescents

Scarf osteotomy in the management of symptomatic adolescent hallux valgus

Efficacy of Bilateral Simultaneous Hallux Valgus Correction Compared to Unilateral

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