| Title | Scarf osteotomy for the correction of hallux valgus: midterm clinical outcome. | | Author(s) | Lipscombe S, Molloy A, Sirikonda S, Hennessy MS | | Institution | Orthopaedic SHO, Trauma and Orthopaedics, The Royal Liverpool Children's Hospital, Eaton Road, Liverpool, UK. | | Source | J Foot Ankle Surg 2008 Jul-Aug; 47(4):273-7. | | Abstract | We prospectively reviewed 22 patients (31 feet) who underwent a scarf osteotomy between January 2001 and March 2002. There were 20 females and 2 males. Ages ranged from 35 to 77 years (mean = 57 years). American Orthopedic Foot and Ankle Society (AOFAS) scores improved from a preoperative mean of 47.94 +/- 13.57 and increased significantly to 96.10 +/- 6.15 (P < .01) after 12 months. The hallux valgus angle improved in all patients from a preop mean of 31.4 +/- 8.0 degrees to 11.0 +/- 10.8 degrees at 12 months. The intermetatarsal angle improved from 13.0 +/- 4.2 degrees to 6.1 +/- 3.2 degrees. All of these changes were significant. Bony union was achieved in all patients. There were no significant changes in peak pressure, pressure/time, or force/time pedobarography noted after 12 months. Significant improvement in pain scores from preoperative mean of 21.29 +/- 11.0 to 32.90 +/- 9.57 at 5 years (P < .01) was noted and 90.9% of patients remained satisfied with the operation and would recommend the procedure. There were 2 complications. One patient experienced a traumatic neuroma and another avascular necrosis of the first metatarsal head. The scarf osteotomy is a safe and effective procedure with reproducible and excellent medium-term results. Level of Clinical Evidence: 2. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 18590887 |
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