Document Detail

Outcome of the scarf osteotomy in adolescent hallux valgus.
MedLine Citation:
PMID:  19421795     Owner:  NLM     Status:  In-Data-Review    
PURPOSE: We have reported the radiological and clinical outcome of scarf osteotomy in the treatment of moderate to severe hallux valgus among adolescent children.
METHOD: Data were collected retrospectively between April 2001 and June 2006. The pre- and post-operative intermetatarsal angle (IMA), hallux valgus angle (HVA) and distal metatarsal articular angle (DMAA) were determined. Patients were followed up for a mean of 37.6 months.
RESULTS: Thirteen patients with 19 operated feet were available at the time of the latest follow-up. There was significant improvement in the mean post-operative IMA, which was maintained to the last follow-up. There was statistically significant improvement in the 6-week post-operative HVA and DMAA. However, this was lost at the final follow-up. The mean American Orthopaedic Foot and Ankle Society score for the whole group was 80 (54-100).
CONCLUSION: This study indicates that scarf osteotomy should be used with caution in symptomatic adolescent hallux valgus, as there is a high recurrence rate.
H L George; J Casaletto; P N Unnikrishnan; D Shivratri; L A James; Alfie Bass; Colin E Bruce
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Publication Detail:
Type:  Journal Article     Date:  2009-05-07
Journal Detail:
Title:  Journal of children's orthopaedics     Volume:  3     ISSN:  1863-2521     ISO Abbreviation:  J Child Orthop     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101313582     Medline TA:  J Child Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  185-90     Citation Subset:  -    
Department of Orthopaedics, Alder Hey Children's Hospital, Liverpool, L12 2AP, UK.
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