Scarf Osteotomy for Correction of Hallux Abducto Valgus Deformity

Being overweight has limited effect on SCARF osteotomy outcome for hallux valgus correction

“…As the single cases of metal migration and first metatarsal fracture were due to patient noncompliance, we were unable to study possible relations. Interestingly, long-term clinical and radiological results and complications observed in both groups were similar to those presented by other authors studying long-term issue [27][28][29]. Therefore, we see no influence of BMI on SSI, delayed bone healing or persistent pain rates after HV surgery.…”

“…Weil and Bowen, in their epic paper on SCARF for HV surgery, pointed out that disparity in long-term results may occur due to a steep surgical learning curve [27]. They noted that some authors observed as much as 35% complication rate in their primary studies and as few as 1% in studies performed a few years later.…”

Foot Width Changes Following Hallux Valgus Surgery

“…Several authors reported in the past satisfactory results of the scarf osteotomy regarding pain relief, functional improvement, and deformity correction. [1][2][3]9,11,15,23,25 In the current study, deformity was corrected from mean preoperative HVA of 35.8 degrees and IMA of 14.1 degrees to postoperative HVA of 13.7 degrees and IMA of 6.9 degrees. Overall, the HVA was reduced in 22.2 degrees and IMA was reduced in 7.1 degrees.…”

“…These results are satisfactory and comparable with previous studies, reporting a reduction of HVA from 29-34 degrees to 10-22 degrees and IMA reduction from 15-12 degrees to 5-9 degrees. [1][2][3]9,11,23,25 With respect to functional results following scarf osteotomy for HV correction, most of the authors used the AOFAS score, showing an improvement from 50-60 points to 88-95 points. [1][2][3]25 However, none of the studies reported on foot width change following HV surgery.…”

“…While a proximal chevron osteotomy is different from a scarf osteotomy, the operative principles of addressing the IMA and HVA components of HV deformity are similar. The study included 117 feet, with a mean follow-up of 14.2 months (range, [12][13][14][15][16][17][18][19][20][21][22][23][24][25]. Authors reported deformity correction with HVA reduction from 36.1 degrees (range, 16-44 degrees) to 5.4 degrees, and IMA reduction from 19 degrees (range, 9-28 degrees) to 4.5 degrees (range, -5 to 14.2 degrees).…”