Document Detail


Prospective comparative study of the scarf and Ludloff osteotomies in the treatment of hallux valgus.
MedLine Citation:
PMID:  19796589     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study compares two diaphyseal osteotomies (scarf and Ludloff) which correct moderate to severe metatarsus primus varus. This is a single surgeon, prospective cohort study with clinical and radiological follow~up at 12 months.
MATERIALS AND METHODS: There were 57 patients in each group. Both groups were similar in terms of age, gender and preoperative deformity. Clinical assessment included visual analogue scale questionnaires for subjective assessment and functional activities and the American Orthopaedic Foot and Ankle Society (AOFAS) score. Standardized weight bearing radiographs were analyzed.
RESULTS: There was no statistically significant difference between the two groups at 6 and 12 months in subjective satisfaction, AOFAS score, improvement in functional activities and range of movements. The improvement in pain (at best) and transfer lesions at 12 months was significantly better in the scarf group (p < 0.05). The radiological results at 6 and 12 months including intermetatrsal angle (p < 0.001), hallux valgus angle (p < 0.01), distal metatarsal articular angle and seasmoid position (p < 0.05) were significantly better in the scarf osteotomy group. There were three cases (5%) of delayed union in the Ludloff group. Two of these healed with dorsiflexion malunion. One patient in the Ludloff osteotomy group developed a complex regional pain syndrome. There were two wound complications in the scarf group.
CONCLUSION: Overall the patients who had a scarf osteotomy had a superior outcome at 6 and 12 months.
Authors:
Andrew Hn Robinson; Maneesh Bhatia; C Eaton; L Bishop
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Foot & ankle international. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society     Volume:  30     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-02     Completed Date:  2009-12-03     Revised Date:  2013-02-25    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  955-63     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Addenbrooke's Hospital, Cambridge CB2 0QQ, UK.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adult
Aged
Esthetics
Female
Follow-Up Studies
Hallux Valgus / radiography,  surgery*
Humans
Male
Middle Aged
Osteotomy / methods*
Outcome Assessment (Health Care)*
Pain Measurement
Patient Satisfaction
Postoperative Complications
Prospective Studies

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


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