A Rotational Scarf Osteotomy Decreases Troughing When Treating Hallux Valgus

Abstract

Background The traditional scarf osteotomy has been associated with complication rates between 1.1% and 45%. We have modified the traditional technique with a rotational osteotomy to reduce these complications. Questions/purposes We determined whether a modified rotational scarf osteotomy improves functional outcome scores, allows correction of a wide degree of an intermetatarsal (IM) angle deformity, has a low incidence of troughing, and maintains normal ROM postoperatively in the treatment of symptomatic hallux valgus (HV). Patients and Methods We retrospectively reviewed 140 patients: 38 men and 102 women with a mean age of 54 years (range, 35-66 years) who underwent surgery for HV and had a minimum followup of 24 months (mean, 41 months; range, 24-68 months). All patients had preoperative and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) forefoot and Short Form (SF)-36 V2 outcome scores recorded. Results The mean AOFAS score improved from 52 points preoperatively to 92 points (range, 71-96 points) at followup. The mean SF-36 V2 score improved from 69 points preoperatively to 94 points (range, 67-98 points) at followup. The IM angle improved from a preoperative mean of 18°(range, 9°-23°) to a mean of 8°(range, 6°-12°). Eleven patients experienced a complication. Conclusions The modified rotational scarf osteotomy has a low complication rate (9%) and apparently reduces the risk of troughing. This procedure can reduce a high degree of IM angle deformity while restoring function to the forefoot.

Prospective Study of the Treatment of Adult Primary Hallux Valgus With Scarf Osteotomy and Soft Tissue Realignment

“…20,29 Although the scarf osteotomy is an effective technique for hallux valgus deformity correction, providing pain improvement, complications of this procedure have been reported to be as low 1% 2 and as high as 47%, 4 although most studies report moderate rates of complications ranging between 4% and 18%, depending on the author, technique, and criteria. [1][2][3][6][7][8][9][11][12][13][14][15][16]19,21,[24][25][26]30,31 The complication rate in this study is comparable to the majority of prior studies.…”

The Scarf Osteotomy with Minimally Invasive Lateral Release for Treatment of Hallux Valgus Deformity

“…P revious studies have shown that the Scarf osteotomy achieves predictable results 3,[5][6][7][8]23,24 . However, none of those studies presented long-term, intermediate-term, and immediate postoperative results of the same patient cohort or reported the factors influencing long-term outcomes.…”

Efficacy of Bilateral Simultaneous Hallux Valgus Correction Compared to Unilateral

“…В послеоперационном периоде в обеих группах выявлена положительная динамика, и к 12 меся-цам показатели в группах достигли одного уров-ня без достоверных различий (p>0,05). Как и в аналогичных исследованиях ряда авторов [10,15], сумма баллов по шкале AOFAS увеличилась в среднем на 40-50 баллов. В ходе проведенно-го исследования достоверных различий в вос-становлении функции стопы между пациентами обеих групп не выявлено (p>0,05).…”