Prospective Comparative Study of the Scarf and Ludloff Osteotomies in the Treatment of Hallux Valgus

Abstract

Overall the patients who had a scarf osteotomy had a superior outcome at 6 and 12 months.

Supplementary medial locking plate fixation of Ludloff osteotomy versus sole lag screw fixation: A biomechanical evaluation

“…Significant loss of correction of the intermetatarsal angle early in the postoperative period has been reported (Robinson et al, 2009), and it is interesting that in one study led to a recurrence in 26,7% of the patients (Chiang et al, 2012). Malunion requiring revision has also been observed with a reported incidence of 1.5 % to 5%.…”

“…A C C E P T E D M A N U S C R I P T 4 union is a well described complication with an incidence of 2%-6,7% (Chiang et al, 2012;Chiodo et al,2004;Robinson et al, 2009;Trnka et al, 2008). Significant loss of correction of the intermetatarsal angle early in the postoperative period has been reported (Robinson et al, 2009), and it is interesting that in one study led to a recurrence in 26,7% of the patients (Chiang et al, 2012).…”

“…A number of proximal (Chow et al, 2008;Easley et al, 1996;Gallentine et al, 2007;Trnka et al, 1999) and diaphyseal (Chiodo et al, 2004;Robinson et al, 2009;Trnka et al, 2008) osteotomies have been utilized for the correction of moderate and severe hallux valgus deformities, but there are several issues regarding their mechanical instability, inadequate fixation and reduced healing potential which might lead to delayed union, dorsal malunion, or fixation failure with subsequent loss of correction (Chiang et al, 2012;Easley et al, 1996;Robinson et al, 2009;Trnka et al, 1999). The Ludloff diaphyseal oblique osteotomy (Chiodo et al, 2004;Robinson et al, 2009;Saxena, McCammon., 1997;Trnka et al, 2008) seems to be the most commonly used osteotomy (Pinney et al, 2006) (among foot and ankle surgeons in USA) for the correction of severe hallux valgus deformity.…”

“…The Ludloff diaphyseal oblique osteotomy (Chiodo et al, 2004;Robinson et al, 2009;Saxena, McCammon., 1997;Trnka et al, 2008) seems to be the most commonly used osteotomy (Pinney et al, 2006) (among foot and ankle surgeons in USA) for the correction of severe hallux valgus deformity. The procedure achieves deformity correction, pain reduction and functional improvement (Chiodo et al, 2004;Robinson et al, 2009;Saxena, McCammon., 1997;Trnka et al, 2008).…”

Comparing proximal and distal metatarsal osteotomy for moderate to severe hallux valgus

“…However, many investigators have reported the use of these successful metatarsal osteotomies for HV deformity for many different indications. Robinson et al [8], Saragas et al [9] and Adam et al [10] reported successful and differing proximal osteotomy techniques for moderate to severe HV. Bai et al [11] reported a series of effective distal metatarsal osteotomies for 76 moderate to severe HV deformities, with a very low incidence of complications.…”