Hallux Valgus Correction With Rotational Scarf Combined With Adductor Hallucis Tendon Transposition

Boychenko, Anton V.; Соломин, Леонид Николаевич; Belokrylova, Maria S.; Tyulkin, Evgeny O.; Davidov, Denis Vladimirovich; Крутько, Д. М.

doi:10.1053/j.jfas.2018.07.012

Cited by 12 publications

(8 citation statements)

References 15 publications

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“…Останнім часом остеотомія Scarf набула величезної популярності. Чудові можливості корекції, відносна простота виконання, збереження кровопостачання головки, незначна кількість ускладнень, рання реабілітація -усе це дозволяє застосовувати цей вид втручання в більшості випадків поєднання вальгусної деформації І пальця з варусною девіацією І плеснової кістки [70].…”

Section: результати та їх обговоренняunclassified

Surgical Treatment of Valgus Deformity of Great Toe (Literature Review)

Prozorovskiy¹

2021

OTP

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The most common manifestation of static deformity of the forefoot is hallux valgus. This symptom complex consists of valgus deviation of the first toe, varus deviation of the first metatarsal bone, and the presence of osteochondral exostosis along the medial surface of the head of the first metatarsal bone. The objective of the work was to determine the most common methods of treatment of hallux valgus and varus deformities of the first metatarsal bone on the basis of the analyzed published literature. Methods. We analyzed publications from the Google search engine, electronic databases PubMed, Google Scholar, archives of specialized journals and other relevant sources of scientific and medical information. Results. Based on the analysis of literary sources, the development of forefoot surgery from the 18th century to the present day was highlighted in the historical aspect. The greatest attention is paid to the use of various osteotomies of the first metatarsal bone for the correction of hallux valgus. In addition, special attention is paid to the developmentof various complications at osteotomies. Conclusions. The problem of surgical correction of hallux valgus is multifaceted and extremely interesting, containing a large number of nuances and hidden complexities. For quite a long time, there has been an improvement in various surgical techniques and methods of fixation. Considering the great variability of the clinical manifestations of hallux valgus, for many years no universal method of treatingthis pathology has been proposed. Therefore, in the future, most likely, individual and differentiated approaches to the choice of one or another method of surgical intervention will be considered, depending on what type of deformity of the forefoot the orthopedisttraumatologist has to meet in his practice.

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Section: результати та їх обговоренняunclassified

Surgical Treatment of Valgus Deformity of Great Toe (Literature Review)

Prozorovskiy¹

2021

OTP

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“…Наиболее распространенной операцией для коррекции деформаций стоп при ревматоидном артрите является операция Клейтона-Хоффмана. Суть ее сводится к артродезированию первого плюснефалангового сустава, резекции головок остальных плюсневых костей [1,2,7]. В последнее время появилось ряд работ, говорящих об успехах суставсберегающих операций на переднем отделе стопы [4,5,7].…”

Section: актуальностьunclassified

Surgical treatment of complex foot deformities in rheumatoid arthritis

Rasputin¹,

Gerasimov²

2020

TDSE

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“…It has a high percentage of patient satisfaction at both short- and long-term follow-up. 1-5,7,8,13,26,28,35,43,44…”

Section: Introductionmentioning

confidence: 99%

“…It has a high percentage of patient satisfaction at both short-and longterm follow-up. [1][2][3][4][5]7,8,13,26,28,35,43,44 One of the most commonly reported complications following hallux valgus surgery is recurrence. 10,12,22,31,35,42 The diagnostic criteria for recurrence reported in the literature is variable.…”

Section: Introductionmentioning

confidence: 99%

“…18 There are many operative techniques reported in the literature to correct hallux valgus. 8,15,42 If planned appropriately, a scarf osteotomy has the ability to translate laterally or plantarly, shorten or lengthen, and can axially rotate to reposition the metatarsal head in all planes of motion. 4,21,43 Although technically demanding, the Scarf osteotomy is a popular and effective procedure applicable to a broad range of hallux valgus cases.…”

Section: Introductionmentioning

confidence: 99%

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Pes Planus Deformity and Its Association With Hallux Valgus Recurrence Following Scarf Osteotomy

et al. 2020

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Background: Hallux valgus recurrence is an unsatisfactory complication, with many causes postulated. This study investigated the effect of pes planus on recurrence after scarf osteotomy. Methods: A total of 183 feet were retrospectively reviewed. All patients were treated with a scarf osteotomy and if required Akin osteotomy. We measured preoperative lateral talus first metatarsal angle (T1MA) to study pes planus; an angle of under −4 degrees was considered pes planus. We measured pre and postoperative hallux valgus angle (HVA), intermetatarsal angle (IMA), and sesamoid location. In total 164 feet were suitable for inclusion, with follow-up of at least 6 months (10 males and 154 females, mean age: 52 years). Results: Recurrence frequency (HVA greater than 15 degrees) was 27 feet (16%). Hallux valgus recurrence was not influenced by gender ( P value = .66) or preoperative IMA ( P value = .48). Preoperative HVA greater than 35 degrees was associated with increased frequency of recurrence ( P value = .004). Those with T1MA less than −10 degrees demonstrated progression in HVA and deterioration in sesamoid location up to 6 months postoperatively ( P value = .038). HVA did not progress beyond 6 months. The prevalence of recurrent hallux valgus with normal T1MA was 1%, in T1MA −4 to −10 degrees it was 29% and in T1MA less than −10 degrees it was 47% ( P value <.001). Breaks in T1MA less than −4 degrees were found at the naviculocuneiform joint in 68% of feet in this series. Conclusion: The prevalence of hallux valgus recurrence correlated with the severity of pes planus. Level of Evidence: Level III, retrospective cohort study.

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Hallux Valgus Correction With Rotational Scarf Combined With Adductor Hallucis Tendon Transposition

Cited by 12 publications

References 15 publications

Surgical Treatment of Valgus Deformity of Great Toe (Literature Review)

Surgical Treatment of Valgus Deformity of Great Toe (Literature Review)

Surgical treatment of complex foot deformities in rheumatoid arthritis

Pes Planus Deformity and Its Association With Hallux Valgus Recurrence Following Scarf Osteotomy

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