| Outcomes after scarf osteotomy for treatment of adult hallux valgus deformity. | |
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MedLine Citation:
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PMID: 20706810 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Many procedures have been developed to correct hallux valgus deformity using distal soft tissue realignment, metatarsal osteotomy, and periodically, a proximal phalanx osteotomy (Akin). The ideal metatarsal osteotomy allows for varying degrees of correction with reliable improvement in deformity and patient satisfaction. QUESTIONS/PURPOSES: We evaluated the results after scarf osteotomy with respect to American Orthopaedic Foot and Ankle Society (AOFAS) scores, patient satisfaction, radiographic results, and complications. PATIENTS AND METHODS: We evaluated 29 patients (34 feet) during an 18-month period who underwent a unilateral scarf osteotomy combined with distal soft tissue realignment. Preoperative and postoperative AOFAS scores, patient satisfaction, and radiographic data were used to evaluate the effectiveness of the procedure. Complications were recorded. Minimal followup was 12 months (average, 26.4 months; range, 12-48 months). RESULTS: The mean AOFAS scores improved from 61.5 to 90.3. At final followup, 94% of patients were satisfied with the surgery. The hallux valgus angle improved from 34.6° to 14.9° and the intermetatarsal angle improved from 15.8° to 7.2° postoperatively. A combined Akin osteotomy was performed in only four cases. Complications included superficial wound infection (one), recurrence (two), and troughing (three). CONCLUSIONS: Our results suggest the scarf osteotomy produces improved AOFAS scores, high percentage of patient satisfaction, and effective correction of hallux valgus deformities. Using our scarf technique of rotation combined with translation minimizes the need for an Akin osteotomy while still obtaining good correction and avoids associated complications described in the literature. LEVEL OF EVIDENCE: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence. |
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Authors:
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Stephanie P Adam; Steven C Choung; Yang Gu; Martin J O'Malley |
Publication Detail:
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Type: Clinical Trial; Journal Article Date: 2010-08-13 |
Journal Detail:
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Title: Clinical orthopaedics and related research Volume: 469 ISSN: 1528-1132 ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-03 Completed Date: 2011-03-24 Revised Date: 2012-09-24 |
Medline Journal Info:
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Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: United States |
Other Details:
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Languages: eng Pagination: 854-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Foot and Ankle Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. StephaniePAdam@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Female Forefoot, Human / pathology, physiopathology, surgery* Hallux Valgus / pathology, physiopathology, surgery* Humans Male Metatarsal Bones / abnormalities, surgery* Middle Aged Osteotomy / adverse effects, methods* Patient Satisfaction Postoperative Complications / etiology Range of Motion, Articular Recovery of Function Rotation Sickness Impact Profile Treatment Outcome Young Adult |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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