| Scarf osteotomy for hallux valgus deformity: a prospective study with 8 years of clinical and radiologic follow-up. | |
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MedLine Citation:
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PMID: 20093543 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Jeroen J K De Vil; Peter Van Seymortier; Willem Bongaerts; Pieter-Jan De Roo; Barbara Boone; Ren? Verdonk |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2010-01-22 Completed Date: 2010-04-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8501423 Medline TA: J Am Podiatr Med Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 35-40 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium. E-mail:jeroendevil@yahoo.co.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Female Follow-Up Studies Hallux Valgus / radiography, surgery* Humans Male Metatarsal Bones / radiography Middle Aged Osteotomy / methods* Prospective Studies Sesamoid Bones / radiography |
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