| A rotational scarf osteotomy decreases troughing when treating hallux valgus. | |
MedLine Citation:
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PMID: 20976578 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The traditional scarf osteotomy has been associated with complication rates between 1.1% and 45%. We have modified the traditional technique with a rotational osteotomy to reduce these complications. QUESTIONS/PURPOSES: We determined whether a modified rotational scarf osteotomy improves functional outcome scores, allows correction of a wide degree of an intermetatarsal (IM) angle deformity, has a low incidence of troughing, and maintains normal ROM postoperatively in the treatment of symptomatic hallux valgus (HV). PATIENTS AND METHODS: We retrospectively reviewed 140 patients: 38 men and 102 women with a mean age of 54 years (range, 35-66 years) who underwent surgery for HV and had a minimum followup of 24 months (mean, 41 months; range, 24-68 months). All patients had preoperative and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) forefoot and Short Form (SF)-36 V2 outcome scores recorded. RESULTS: The mean AOFAS score improved from 52 points preoperatively to 92 points (range, 71-96 points) at followup. The mean SF-36 V2 score improved from 69 points preoperatively to 94 points (range, 67-98 points) at followup. The IM angle improved from a preoperative mean of 18° (range, 9°-23°) to a mean of 8° (range, 6°-12°). Eleven patients experienced a complication. CONCLUSIONS: The modified rotational scarf osteotomy has a low complication rate (9%) and apparently reduces the risk of troughing. This procedure can reduce a high degree of IM angle deformity while restoring function to the forefoot. LEVEL OF EVIDENCE: Level IV, case series. See Guidelines for Authors for a complete description of levels of evidence. |
Authors:
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Christopher D Murawski; Christopher J Egan; John G Kennedy |
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Publication Detail:
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Type: Journal Article Date: 2010-10-26 |
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: 2013-07-03 |
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: 847-53 Citation Subset: AIM; IM |
Affiliation:
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Department of Foot and Ankle Surgery, Hospital for Special Surgery, 523 East 72nd Street, Suite 514, New York, NY 10021, USA. murawskic@hss.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Forefoot, Human / pathology, surgery* Hallux Valgus / pathology, surgery* Humans Male Metatarsal Bones / abnormalities, surgery* Middle Aged Osteotomy / adverse effects, methods* Postoperative Complications / etiology* Range of Motion, Articular Recovery of Function Retrospective Studies Rotation Sickness Impact Profile Treatment Outcome |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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