A Comparative Study of Mini-Scarf Versus Standard Scarf Osteotomy for Hallux Valgus Correction

Boksh, Khalis; Qasim, Sultan N.; Khan, Kinza; Tomlinson, Clare; Mangwani, Jitendra

doi:10.1053/j.jfas.2018.03.039

Cited by 11 publications

(12 citation statements)

References 23 publications

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“…10,12e14 Boksh et al conducted a prospective cohort study. 15 The study by Lai et al, 5 Maffuli 7 and Brogan (16) are retrospective cohort studies whereas Poggio et al did a retrospective analysis of two independent patient cohorts. 16e19…”

Section: Resultsmentioning

confidence: 99%

“…17 (SERI vs scarf) have not specified how the cases were divided amongst the two groups in their methodology. 15,19 For functional assessment, most common outcome evaluation tool for hallux valgus surgery is the AOFAS score while authors have also chosen subjective patient satisfaction and VAS score. AOFAS rating system has been developed by the American Orthopaedic Foot and Ankle Society to provide a standard method of reporting clinical status of the ankle and foot and is universally accepted.…”

Section: Discussionmentioning

confidence: 99%

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Minimally invasive vs open distal metatarsal osteotomy for hallux valgus - A systematic review and meta-analysis

Singh

Khurana²,

Kapoor

et al. 2020

Journal of Clinical Orthopaedics and Trauma

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Background: Numerous publications of the late 20th century have presented the radiological outcome of open technique for distal metatarsal osteotomy for mild to moderate hallux valgus and the clinical outcomes by means of well-established scoring systems which have been published and make these open techniques today's benchmark and gold standard. Minimally invasive procedures reduce surgical trauma because they are performed without large incisions, and injury to the soft tissues is limited. This has the theoretical advantages of improved recovery and decreased rehabilitation times. There is however limited literature to prove the same for minimally invasive surgery for hallux valgus. Our aim was thus to pool all available comparative literature on minimally invasive hallux valgus surgery done for mild to moderate hallux valgus versus open surgical approaches. Methods: A PubMed, Embase and Scopus search was performed using the keywords ('hallux valgus' OR bunion) AND ('minimally invasive' OR percutaneous) AND osteotomy. A total of 473 records were identified and out of which nine studies were included in the final review. Results: Most available studies are either randomized control trials, or prospective cohort studies providing good level of evidence. Radiological analysis showed similar correction with both MIS and open osteotomies. In functional analysis results were different with open techniques providing better results in terms of AOFAS score. (p < 0.0001). VAS score and complication rate were similar in both groups. Discussion/conclusion: We conclude that based on available literature MIS provides equivalent radiological outcomes with respect to open surgery but functionally despite the promising results (good to excellent in most series), the outcomes in terms of function are not as good as open surgery. MIS techniques provide satisfactory outcomes for mild-to-moderate severity of hallux valgus though not as good as open surgery. There is evolving literature for this relatively new procedure. Longer duration of follow up and bigger numbers would allow for more meaningful data analysis and conclusions to be drawn as more studies come forward.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Minimally invasive vs open distal metatarsal osteotomy for hallux valgus - A systematic review and meta-analysis

Singh

Khurana²,

Kapoor

et al. 2020

Journal of Clinical Orthopaedics and Trauma

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“…Follow-up times were highly variable, ranging from 6 months to 7 years. Among the included studies, 8 studies ( 15 , 17 , 24 , 26 , 28 , 29 , 31 , 35 ) were RCTs, 2 studies ( 4 , 14 ) were prospective comparative studies, and 12 studies ( 5 , 13 , 16 , 18 , 22 , 23 , 25 , 27 , 30 , 32 – 34 ) were retrospective comparative studies. A total of 10 studies ( 13 , 17 , 22 – 28 , 32 ) reported on the 2G percutaneous hallux valgus surgery, in which 7 studies ( 13 , 22 – 25 , 28 ) involved Bösch osteotomy and 3 studies ( 17 , 26 , 27 ) involved a simple, an effective, a rapid, and an inexpensive (SERI) technique.…”

Section: Resultsmentioning

confidence: 99%

“…Tay et al ( 34 ) performed a retrospective study to compare between the MICA and scarf/akin surgery. Two studies ( 4 , 31 ) performed a comparison of the mini-scarf with open scarf osteotomy. Guo et al ( 33 ) conducted a retrospective comparative study for a comparison of percutaneous oblique osteotomy (POO) with open chevron osteotomy.…”

Section: Resultsmentioning

confidence: 99%

Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis

Wang

Ding

et al. 2022

Front. Surg.

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PurposeIn recent years, minimally invasive surgery (MIS) for hallux valgus has emerged and gained popularity. To date, evidence on the benefits of MIS for hallux valgus is still controversial. This updated meta-analysis aimed to comprehensively evaluate the efficiency of MIS vs. open surgery for hallux valgus.MethodsA systematic literature search of PubMed, Embase, and the Cochrane Library was performed. Two independent reviewers conducted data extraction and analyzed data with R software. Data were presented with risk ratio (RR) and standardized mean difference (SMD) along with 95% confidence interval (CI).ResultsA total of 22 studies in which there were 790 ft treated with the MIS procedure and 838 ft treated with an open procedure were included. The correction of sesamoid position was better in the MIS group. The post-operative distal metatarsal articular angle (DMAA) of the MIS group was lower. There was less pain at the early phase in the MIS group. The MIS group had a shorter surgery time and shorter hospitalization time compared with the open group. Our meta-analysis revealed no statistically significant difference in hallux valgus angle (HVA), first intermetatarsal angle (IMA), the first metatarsal shortening, the American Orthopedic Foot and Ankle Society (AOFAS) score, visual analog scale (VAS) score at the final follow-up or complication rate (when all studies were considered). When taking into consideration only randomized controlled trial (RCT), the AOFAS score was higher in the MIS group while HVA, IMA, DMAA, and complication rate remained no significance. Post-operative IMA of the MIS group was significantly lower when only studies reporting the second-generation (2G) MIS were included. When just studies adopting the third-generation (3G) MIS were included, the HVA and DMAA were lower in the MIS group.ConclusionThe MIS procedures were more effective than open surgeries in the treatment of hallux valgus. Moreover, the MIS group achieved better radiologic and clinical outcomes compared with the open group.

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“…Although this study is the first comparing open vs MI scarf osteotomy for HV treatment, similar clinical results have been observed in other comparative studies between open and MI osteotomies. 9,26…”

Section: Discussionmentioning

confidence: 99%

Open vs Minimally Invasive Scarf Osteotomy for Hallux Valgus Correction: A Randomized Controlled Trial

et al. 2021

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Background: Minimally invasive (MI) surgery is becoming increasingly popular in the treatment of hallux valgus (HV). The scarf osteotomy is an effective procedure with a track record in open HV surgery. We adapted this effective osteotomy to MI surgery as a novel technique never reported before. The aim of this study was to compare the clinical and radiologic outcomes of patients who underwent open or MI scarf. Methods: Between 2017 and 2018, 58 patients were randomized to either open or MI scarf to treat HV deformity. Prospective patient-reported outcome measures and weightbearing radiographs were obtained. Data included the AOFAS score, radiologic angular correction, operative time, fluoroscopy radiation dose, and postoperative pain on visual analog scale (VAS). Results: The mean follow-up was of 21 (range, 12-38) months. Radiologic measurements (postoperative hallux valgus angle, first-to-second intermetatarsal angle, and distal metaphyseal articular angle) were similar in both groups and showed statistically significant improvement from preoperative measures. The mean operative time for the MI group was 16.7 vs 26.1 minutes in the open group, a statistically significant difference. Radiation exposure was 14 times higher in the MI group when compared to the open group (mean: 34 vs 2.4 mGy/cm2, P < .001). There were no major complications in either group. Conclusions: The MI scarf provides a clinically and radiologically equivalent outcome to open scarf for the treatment of HV with reduced operative time and immediate postoperative VAS for pain but is associated with a small increase in radiation exposure. Level of Evidence: Level I, randomized controlled trial.

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A Comparative Study of Mini-Scarf Versus Standard Scarf Osteotomy for Hallux Valgus Correction

Cited by 11 publications

References 23 publications

Minimally invasive vs open distal metatarsal osteotomy for hallux valgus - A systematic review and meta-analysis

Minimally invasive vs open distal metatarsal osteotomy for hallux valgus - A systematic review and meta-analysis

Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis

Open vs Minimally Invasive Scarf Osteotomy for Hallux Valgus Correction: A Randomized Controlled Trial

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