Scarf Osteotomy

Molloy, Andy; Widnall, James

doi:10.1016/j.fcl.2014.02.001

Cited by 32 publications

(25 citation statements)

References 53 publications

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“…Several authors reported in the past satisfactory results of the scarf osteotomy regarding pain relief, functional improvement, and deformity correction. [1][2][3]9,11,15,23,25 In the current study, deformity was corrected from mean preoperative HVA of 35.8 degrees and IMA of 14.1 degrees to postoperative HVA of 13.7 degrees and IMA of 6.9 degrees. Overall, the HVA was reduced in 22.2 degrees and IMA was reduced in 7.1 degrees.…”

Section: Discussionmentioning

confidence: 67%

“…While a proximal chevron osteotomy is different from a scarf osteotomy, the operative principles of addressing the IMA and HVA components of HV deformity are similar. The study included 117 feet, with a mean follow-up of 14.2 months (range, [12][13][14][15][16][17][18][19][20][21][22][23][24][25]. Authors reported deformity correction with HVA reduction from 36.1 degrees (range, 16-44 degrees) to 5.4 degrees, and IMA reduction from 19 degrees (range, 9-28 degrees) to 4.5 degrees (range, -5 to 14.2 degrees).…”

Section: Discussionmentioning

confidence: 99%

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Foot Width Changes Following Hallux Valgus Surgery

et al. 2018

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Foot Width Changes Following Hallux Valgus Surgery

et al. 2018

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“…Scarf osteotomy is suggested for the treatment of mild or moderate hallux valgus deformity and is defined as an osteotomy that translates the distal fragment laterally. 7 Scarf osteotomy has gone through several modifications in time. In one of these modifications, the distal plantar fragment was rotated laterally and a more efficient correction effect was targeted in the IMA without much impact on the DMAA.…”

Section: Introductionmentioning

confidence: 99%

A randomized comparison of the proximal crescentic osteotomy and rotational scarf osteotomy in the treatment of hallux valgus

Şahin¹,

Cansabuncu

Çevik

et al. 2018

Acta Orthopaedica et Traumatologica Turcica

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ObjectivesThe aim of this study was to compare clinical and radiological results of proximal crescentic osteotomy (PCO) and rotational scarf osteotomy performed in the treatment of hallux valgus.MethodsA total of 57 consecutive patients (60 feet) with symptomatic hallux valgus deformity were randomly assigned to one of two groups. The PCO group consisted of 22 women and 5 men (30 feet) and the mean age was 43(±14.5) years. The scarf group consisted of 23 women and 7 men (30 feet) and the mean age was 40.9(±12.6) years. Outcomes were assessed by using of preoperative and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) scores and visual analogue scale (VAS). Weight bearing X-rays were used for radiological evaluation.ResultsThe mean AOFAS scores improved from 42(±16.2) to 66.7(±13.4) points in PCO group and from 36.2(±16.1) to 73.2(±13.5) points in scarf group. The mean pain score improved from 6.3(±1.3) to 2.4(±2) in PCO group and from 6.5(±1.9) to 2.5(±1.3) in scarf group. The mean hallux valgus angle (HVA) decreased from 38.1°(±7.1) preoperatively to 23.8°(±8.5) at postoperative first year in PCO group, and from 36.1°(±7.5) preoperatively to 22.2°(±7.5) at postoperative first year in scarf group. The mean intermetatarsal angle (IMA) decreased from 17.3°(±3.8) preoperatively to 11.8°(±3.3) at postoperative first year in PCO group, and from 16.2°(±2.6) preoperatively to 9.3°(±2.4) at postoperative first year in scarf group.When all the patients were assessed together, the relations between preoperative DMAA values and postoperative first year HVA (r = 0,327) and IMA (r = 0,399) values were positive but had low significance. The HVA and IMA values were increased in both groups at the end of the first year when compared to the postoperative sixth week values (p < 0.01 for both groups for both values).ConclusionThe PCO and the rotational scarf osteotomy in the treatment of hallux valgus deformity provides a satisfactory correction. The clinical and radiological results of both methods are similar. Especially in patients with high preoperative DMAA, an increase in the HVA and the IMA values may occur in the first postoperative year when compared to the postoperative sixth week values.Level of evidenceLevel II, therapeutic study.

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“…Scarf is a carpentry term describing beveling the ends of 2 pieces of wood and securely fastening them so that they overlap to create one continuous piece. This technique was popularized by Weil and Barouk as a versatile method of correcting hallux valgus while maintaining the blood supply to the metatarsal head [16]. .…”

Section: Introductionmentioning

confidence: 99%

Introduction the revolving scarf osteotomy for treating severe hallux valgus with an increased distal metatarsal articular angle: a retrospective cohort study

Wang

et al. 2019

BMC Musculoskelet Disord

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BackgroundHallux valgus(HV) with an increased distal metatarsal articular angle (DMAA) is one of the most common foot deformities among adults. Double metatarsal osteotomy (DMO) is effective in treating severe HV deformity with an increased DMAA. However, this technique presents the risk of avascular necrosis (AVN) of the metatarsal head and transfer metatarsalgia due to shortening of the first metatarsal. The aim of this study was to introduce a surgical procedure defined as revolving scarf osteotomy (RSO) and compare the clinical and radiological results of RSO and DMO performed for treating severe HV with an increased DMAA.MethodsFirst metatarsal osteotomies and Akin osteotomy were performed in 56 patients (62 ft) with severe HV with an increased DMAA in Honghui Hospital from January 2015 to December 2017. RSO was performed in 32 ft and DMO was performed in 30 ft. The Akin osteotomy was performed in both groups. The American Orthopedic Foot and Ankle Society (AOFAS) score, visual analogue scale (VAS) score, the hallux valgus angle (HVA), intermetatarsal angle (IMA), DMAA, and first metatarsal length (FML) and the rates of complications were compared preoperatively and postoperatively in the two groups.ResultsThe mean AOFAS score, VAS score, HVA, IMA, and DMAA showed significant improvements in both groups after surgery, but with no significant differences between the two groups. The postoperative FML was significantly larger in the RSO group than in the DMO group (p < 0.001). One of the 30 ft (3.3%) in the DMO group exhibited transfer metatarsalgia at 12 months postoperatively, while another foot (3.3%) in same group had avascular necrosis of the metatarsal head. One of the 30 ft (3.1%) in the RSO group had hallux varus.ConclusionsNo differences in the clinical and radiographic results were observed between the two groups with severe HV and an increased DMAA. However, RSO does not cause shortening of the metatarsal and AVN of the metatarsal head. A long-term, randomized, controlled prospective study with a larger sample would provide higher-level evidence for confirming the clinical efficacy and safety of RSO.

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Scarf Osteotomy

Cited by 32 publications

References 53 publications

Foot Width Changes Following Hallux Valgus Surgery

Foot Width Changes Following Hallux Valgus Surgery

A randomized comparison of the proximal crescentic osteotomy and rotational scarf osteotomy in the treatment of hallux valgus

Introduction the revolving scarf osteotomy for treating severe hallux valgus with an increased distal metatarsal articular angle: a retrospective cohort study

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