Return to Physical Activities after Scarf Osteotomy for Hallux Valgus

Abstract

Background. Scarf osteotomy is an effective method of surgical treatment of hallux valgus. The final im­pact of the procedure on patients’ physical activity has not been assessed so far. Our goals were to evaluate sports and physical activities in patients following the Scarf osteotomy and to compare these with clinical outcomes. Material and methods. The study included 79 patients who were treated for hallux valgus with a Scarf osteotomy in 2015-2016. The average age in the examined group at the time of surgery was 55.43 (± 11.97) years, while the follow-up was on average 3.13 (± 0.42) years. Physical activity was measured using the UCLA - Activity Score and Author’s Sport Specific Questionnaire. Clinical outcomes were evaluated with the Ame­rican Orthopedic Foot and Ankle Score (AOFAS HMI) and compared to sports outcomes. Results. After the procedure, the frequency of undertaking physical activity increased by about 21% (p = 0.0005) and the time spent by patients during the week on sports (minutes per week) increase by about 19% (p = 0.005). The result of the UCLA – Activity Score after surgery increased by an average of about 4.7% (p = 0.016). The average satisfaction with the result of the surgery was 8.2 (1-10 scale). The majority of patients (67%) were able to maintain the amount of physical activity after the surgery and few patients (24%) were able to increase this amount. Conclusion. The study suggests that Scarf osteotomy has a positive effect on the ability of patients with hallux valgus to return to sport and physical activity.

Prospective, Long-Term Functional Outcomes of Extra-Osseous Talotarsal Stabilization (EOTTS) Using HyProCure in Adult Patients with Talotarsal Joint Instability: Assessment of Physical Activity and Patient Satisfaction

“…This is also confirmed by the patients in our study, where 73.2% declared that the surgical treatment had a positive impact on the possibility of undertaking physical activity, with an average rating of the surgery at 8.95. Similar results were reported by Ciechanowicz et al in a study about the return to physical activity after a scarf osteotomy for hallux valgus, where 77% of patients declared that they were satisfied with the outcome of the surgery and physical activity was less difficult for them after the surgery, with an average rating of 8.2 [30]. In our study, most of the patients were able to maintain and often increase their level of physical activity after surgery (100% of patients were able to perform recreational sport).…”

“…On another hand, after surgical treatment of the hallux valgus, an increase in the average UCLA score from 6.24 to 6.53 was observed. In addition, the same study observed an increase in the amount of time spent on physical activity by about 19% after surgery [30]. Fuller et al showed in their study that 2.4% of patients were sedentary with no physical activity, 31.7% were moderately active, 29.3% were highly active, and 36.6% were extremely active after surgical treatment of flatfoot [32].…”

Modified scarf osteotomy for hallux valgus: From a finite element model to clinical results

“…Traditional scarf osteotomy has been used to treat HV deformities. 3,23,24 This procedure is performed only when the width of the shaft of the first metatarsal is sufficient, limiting the availability of this option for mild-to-moderate deformities. Devies suggested that under a lateral shift of the distal fragment, at least 1/4–1/3 of the shaft width should remain in contact.…”