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

Liszka, Henryk; Gądek, Artur

doi:10.1177/1071100718786498

Cited by 19 publications

(4 citation statements)

References 25 publications

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“…However, it must be taken into account that HV surgery with ReveL osteotomy, with a long plantar limb, has inherently high primary stability due to the surgical technique. In the past, some studies have even reported that there was no significant slippage of the osteotomy even without additional screw stabilization [ 20 , 21 ]. In some centers, only a K-wire is used as an alternative to the 3.0 mm head compression screw (HCS), which is routinely used in our clinic [ 2 , 3 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

The Application of an Allogenic Bone Screw for Stabilization of a Modified Chevron Osteotomy: A Prospective Analysis

Huber

Hofstätter

Fiala

et al. 2022

JCM

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Background: Distal first metatarsal osteotomies are commonly performed operative procedures for hallux valgus deformity, and usually involve fixation with a metal screw. However, various bioabsorbable osteosynthesis materials have been in use for a number of years. One recent innovation is the Shark Screw®, a human cortical bone allograft. This study aimed to evaluate the efficacy and safety of this allogeneic screw in the stabilization of Reversed L-Shaped osteotomy, a modified Chevron osteotomy. Methods: In a prospective study, 15 patients underwent a Reversed L-Shaped osteotomy stabilized with the allogenic bone screw Radiological data on osteointegration of the screw and correction of the intermetatarsal angle were recorded. Furthermore, each follow-up examination included the collection of clinical data, the American Orthopedic Foot and Ankle Society (AOFAS) score, evaluation of pain level, and patient’s overall satisfaction. Results: Full osseous fusion of the osteotomy was seen in all patients. The bone screws were radiographically integrated after approximately 6.5 (±2.6) months. Neither nonunion nor failure occurred in any of our cases. Furthermore, we did not find any potential graft reaction. The AOFAS score improved significantly from 51.6 (±15.2) points to 90.9 (±10.3) (p < 0.001). The preoperative hallux valgus angle and intermetatarsal angle decreased significantly from 24.8 (±4.9) degrees to 7.2 (±4.4) degrees (p < 0.001) and 12.6 (±3.2) degrees to 4.8 (±1.3) degrees (p < 0.001), respectively. Conclusions: With this study, we demonstrated the efficiency of the allogenic bone screw (Shark Screw®) in regard to clinical and radiological short-term outcomes.

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Section: Discussionmentioning

confidence: 99%

The Application of an Allogenic Bone Screw for Stabilization of a Modified Chevron Osteotomy: A Prospective Analysis

Huber

Hofstätter

Fiala

et al. 2022

JCM

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“…Scarf is a 3-plane osteotomy that also enables correction of the first ray in the sagittal plane (plantarization or elevation). 4,5 As Meary's angle is determined by longitudinal axes of the first metatarsal and talus on lateral weightbearing foot radiographs, scarf osteotomy may have an influence on postoperative T1MA. We regret that the authors did not measure postoperative T1MA or correlate values with hallux valgus recurrence rates.…”

Section: Dear Editormentioning

confidence: 99%

“…Several modifications of the scarf osteotomy have been described in the literature. 1,2,4,5 These modifications are dependent on the surgeon and influence the final outcome in the sagittal plane and T1MA (Figure 1 and Figure 2).…”

mentioning

confidence: 99%

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

Liszka¹,

Gądek²

2021

Foot Ankle Int.

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

Abstract: Level III, retrospective comparative study.

Cited by 19 publications

References 25 publications

The Application of an Allogenic Bone Screw for Stabilization of a Modified Chevron Osteotomy: A Prospective Analysis

The Application of an Allogenic Bone Screw for Stabilization of a Modified Chevron Osteotomy: A Prospective Analysis

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

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

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