Screwless scarf osteotomy for hallux valgus: Evaluation of radiologic correction

Doninck, Dries Van; Verschueren, Thomas; Matricali, Giovanni; Opstal, Nick Van; Scheys, Lennart; Vandeputte, Geoffroy

doi:10.1016/j.fas.2016.07.002

Cited by 7 publications

(5 citation statements)

References 12 publications

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“…9,13,16 Screwless scarf osteotomy results in a good correction of the IMA and HVA; even lengthening of the first ray is possible. 25 The results of our study confirm the good clinical and radiologic outcome of scarf osteotomy in the treatment of hallux valgus. The type of stabilization used seems to be not as important as the modification to the technique described in this paper.…”

Section: Discussionsupporting

confidence: 81%

“…15 Proximal bone graft stabilization together with the double interlocking technique can eliminate the need for traditional screw fixation of the osteotomy. 6,15 Only 3 studies exist in the literature regarding scarf osteotomy without internal fixation: technical note, 15 evaluation of radiologic correction, 25 and single-surgeon case series. 6 There is no comparative study.…”

Section: Introductionmentioning

confidence: 99%

“…Only 3 studies exist in the literature regarding scarf osteotomy without internal fixation: technical note, 15 evaluation of radiologic correction, 25 and single-surgeon case series. 6 There is no comparative study.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Results of Scarf Osteotomy Without Implant Fixation in the Treatment of Hallux Valgus

Liszka

Gądek

2018

Foot Ankle Int.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

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Results of Scarf Osteotomy Without Implant Fixation in the Treatment of Hallux Valgus

Liszka

Gądek

2018

Foot Ankle Int.

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“…Our median correction of HVA is 24° (from 32° to 8°) and IMA 11° (from 15° to 4°). This amount of correction is generous and cannot be found routinely in other studies 11,20,21,22,23 . Deenik et al in a study on 108 feet found similar correction potential with a scarf and with a chevron (HVA from 30° to 18° and IMA from 13° to 10°) 24 .…”

Section: Graph 4 Distribution Of the Number Of Postoperative Deformit...mentioning

confidence: 99%

“…The orientation of the incisions influences plantarisa-tion (plantary directed cuts), shortening (proximally directed cuts), or rotation/derotation (turning distal fragment medially or laterally with different amounts of translation in the proximal and distal parts of the osteotomy) (Figure 1b-e) 7,8 . Adequate tailoring and interpressing bone fragments allow the surgeon to achieve maximum primary stability of the osteotomy even without the need for screw fixation (Figure 2) 9,10,11 . Scarf osteotomy is indicated for medium and large deformities of the hallux valgus, with an expected reduction of the intermetatarsal angle (IMA) and the hallux valgus angle (HVA).…”

Section: Introductionmentioning

confidence: 99%

Correction of hallux valgus by scarf osteotomy – a clinical and radiographical review of 175 cases

Klobučar

2023

ACC

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The paper elaborates on scarf osteotomy in the treatment of hallux valgus deformity. The study evaluates 175 isolated scarf osteotomies of the first metatarsal (with/without the Akin procedure) performed by one surgeon. Radiological (intermetatarsal angle-IMA, hallux valgus angle-HVA, distal-metatarsal articular angle-DMAA, proximal-to-distal phalangeal-articular angle-PDPAA, translation of diaphysis and sesamoid position) and clinical (Foot and Ankle Disability Index -FADI and the American Orthopedic Foot and Ankle Score -AOFAS) evaluation was done before and after treatment. The follow-up was from 1 to 10 years. HVA decreased 24°, from 32°±8,8(16°-60°) to 8°±7,4(-27°-32°), IMA decreased 11°, from 15°±3,7(16°-31°) to 4°±2,4(0°-13°), DMAA for 12°-from 17° to 5°, PDPAA for 5°-from 5° to 0° and sesamoid position from 5(2-7) to 1(1-7). The first metatarsal translation was 58%±14,5(17%-94%). FADI enlarged from 65±18.2(26-99) to 95±9,7(45-100) and AOFAS from 76±9,to 6(47-98) 96±6,9(72-100). All diferences were significant (p<0,05). Recurrence was 4,6%, iatrogenic hallux varus 6,3%, symptomatic screw 9%, transfer metatarsalgia 2,3%, troughing 2,9% superficial wound infection 1,1%, and postoperative hypesthesia 1,1%. Scarf osteotomy is a reliable and safe procedure for the correction of moderate to severe hallux valgus deformities. A relatively long learning curve is a burden with solvable complications.

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Scarf osteotomy for the treatment of moderate to severe hallux valgus: Analysis of predictors for midterm outcomes and recurrence

Castioni

Fanelli

Gasparini

et al. 2020

Foot and Ankle Surgery

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Screwless scarf osteotomy for hallux valgus: Evaluation of radiologic correction

Cited by 7 publications

References 12 publications

Results of Scarf Osteotomy Without Implant Fixation in the Treatment of Hallux Valgus

Results of Scarf Osteotomy Without Implant Fixation in the Treatment of Hallux Valgus

Correction of hallux valgus by scarf osteotomy – a clinical and radiographical review of 175 cases

Scarf osteotomy for the treatment of moderate to severe hallux valgus: Analysis of predictors for midterm outcomes and recurrence

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