| Mid-term results of Scarf osteotomy in hallux valgus. | |
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MedLine Citation:
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PMID: 20157812 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Renée A Fuhrmann; Hans Zollinger-Kies; Hans-Peter Kundert |
Publication Detail:
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Type: Journal Article Date: 2010-02-16 |
Journal Detail:
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Title: International orthopaedics Volume: 34 ISSN: 1432-5195 ISO Abbreviation: Int Orthop Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-20 Completed Date: 2011-01-18 Revised Date: 2012-04-27 |
Medline Journal Info:
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Nlm Unique ID: 7705431 Medline TA: Int Orthop Country: Germany |
Other Details:
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Languages: eng Pagination: 981-9 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Rudolf-Elle-Hospital, University of Jena, Klosterlausnitzerstr. 81, Eisenberg, Germany. RAEFuhrmann@aol.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 | |
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