Document Detail


Mid-term results of Scarf osteotomy in hallux valgus.
MedLine Citation:
PMID:  20157812     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We performed a retrospective study on 178 Scarf osteotomies with a mean follow-up of 44.9 months (range 15-83 months). Clinical rating was based on the forefoot score of the American Orthopaedic Foot and Ankle Society (AOFAS). Weight bearing X-rays were used to perform angular measurements and assess the first metatarsophalangeal joint (MTP 1). At follow-up the mean AOFAS score had improved significantly (p < 0.001), but only 55% of the feet showed a perfect realignment of the first ray. Patients with a hallux valgus angle exceeding 30° and pre-existing degenerative changes at the MTP 1 joint displayed inferior clinical results (p < 0.05). Nearly 20% of the patients suffered from pain at the MTP 1 joint. This was clearly attributed to an onset or worsening of distinct radiographic signs of arthritis (p < 0.05) resulting in painfully decreased joint motion. Comparing radiographic appearance three months postoperatively and at follow-up, we found that radiographic criteria (hallux valgus, first intermetatarsal angle, hallux valgus interphalangeus, MTP 1 joint congruency, arthritic lesions at MTP 1) worsened with time.
Authors:
Renée A Fuhrmann; Hans Zollinger-Kies; Hans-Peter Kundert
Publication Detail:
Type:  Journal Article     Date:  2010-02-16
Journal Detail:
Title:  International orthopaedics     Volume:  34     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-20     Completed Date:  2011-01-18     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  981-9     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Rudolf-Elle-Hospital, University of Jena, Klosterlausnitzerstr. 81, Eisenberg, Germany. RAEFuhrmann@aol.com
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adolescent
Adult
Aged
Female
Follow-Up Studies
Hallux Valgus / physiopathology,  radiography,  surgery*
Humans
Joint Instability
Male
Metatarsophalangeal Joint / physiopathology,  radiography,  surgery*
Middle Aged
Osteotomy / methods*
Pain, Postoperative / etiology,  physiopathology
Postoperative Complications
Range of Motion, Articular
Retrospective Studies
Treatment Outcome
Young Adult
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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