Document Detail

Scarf osteotomy for hallux valgus deformity: a prospective study with 8 years of clinical and radiologic follow-up.
MedLine Citation:
PMID:  20093543     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Scarf midshaft metatarsal osteotomy has become increasingly popular as a treatment option for moderate-to-severe hallux valgus deformities because of its great versatility. Numerous studies on Scarf osteotomy have been published. However, no prospective studies were available until 2002. Since then, only short-term follow-up prospective studies have been published. We present the results of a prospective study of 21 patients treated by Scarf osteotomy for hallux valgus with follow-up of 8 years. METHODS: Between August 1, 1999, and October 31, 1999, 23 patients (23 feet) with moderate-to-severe hallux valgus deformity were included. Clinical (American Orthopaedic Foot and Ankle Society score) and radiologic (hallux valgus angle, first intermetatarsal angle, and sesamoid position) evaluations were performed preoperatively and 1 and 8 years postoperatively. RESULTS: Clinical evaluation showed a significant improvement in the mean forefoot score from 47 to 83 (of a possible 100) at 1 year (P < .001). Radiographic evaluation showed significant improvement in the hallux valgus angle (mean improvement, 19 degrees ; P < .001) and in the intermetatarsal angle (mean improvement, 6 degrees ; P < .001). These clinical and radiographic results were maintained at the final evaluation 8 years postoperatively. CONCLUSIONS: Scarf osteotomy tends to provide predictable and sustainable correction of moderate-to-severe hallux valgus deformities.
Jeroen J K De Vil; Peter Van Seymortier; Willem Bongaerts; Pieter-Jan De Roo; Barbara Boone; Ren? Verdonk
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Podiatric Medical Association     Volume:  100     ISSN:  1930-8264     ISO Abbreviation:  J Am Podiatr Med Assoc     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-01-22     Completed Date:  2010-04-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501423     Medline TA:  J Am Podiatr Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  35-40     Citation Subset:  IM    
Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium.
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MeSH Terms
Follow-Up Studies
Hallux Valgus / radiography,  surgery*
Metatarsal Bones / radiography
Middle Aged
Osteotomy / methods*
Prospective Studies
Sesamoid Bones / radiography

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