Document Detail


Scarf osteotomy for the correction of adolescent hallux valgus.
MedLine Citation:
PMID:  20400434     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Adolescent hallux valgus deformity is a complex surgical condition. Although several techniques have been described to correct this deformity in adults, limitations exist for adolescents because of the presence of open growth plates and high recurrence rates. This retrospective study reports results of 7 patients (14 feet) using the Scarf osteotomy for correction of adolescent hallux valgus deformity. All patients underwent concomitant bilateral hallux valgus surgery. Radiographic evaluation measures included intermetatarsal 1-2 angle, hallux valgus angle, and distal metatarsal articular angle. Data recorded from the lateral radiograph evaluated the first metatarsal declination angle. Postoperative patient satisfaction was assessed using a standard patient satisfaction survey. Postoperative, subjective, and objective measurements were calculated using the American College of Foot and Ankle Surgeons (ACFAS) Scoring Scale for the First Metatarsophalangeal Joint and First Ray and the American Orthopaedic Foot & Ankle Society (AOFAS) Hallux Metatarsophalangeal-Interphalangeal Scoring Scale. Average patient age and follow-up were 14.43 years and 57 months, respectively. There was 100% maternal inheritance of hallux valgus deformity. The average postoperative ACFAS Metatarsophalangeal Joint and First Ray Scale (module 1) score was 94.72, and the average AOFAS Hallux Metatarsophalangeal-Interphalangeal Scale score was 96.43. Complications included 1 patient who underwent revision surgery on 1 foot 18 years after the date of index surgery because of painful recurrence of the deformity. The authors believe the Scarf osteotomy is a safe, effective, and versatile procedure for the correction of juvenile and adolescent hallux valgus deformity.
Authors:
Shine John; Lowell Weil; Lowell Scott Weil; Kari Chase
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Publication Detail:
Type:  Journal Article     Date:  2009-11-06
Journal Detail:
Title:  Foot & ankle specialist     Volume:  3     ISSN:  1938-7636     ISO Abbreviation:  Foot Ankle Spec     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-04-19     Completed Date:  2010-08-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101473598     Medline TA:  Foot Ankle Spec     Country:  United States    
Other Details:
Languages:  eng     Pagination:  10-4     Citation Subset:  IM    
Affiliation:
Weil Foot and Ankle Institute, Des Plaines, Illinois 60016, USA. sj@weil4feet.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Female
Hallux Valgus / radiography,  surgery*
Humans
Male
Osteotomy / methods*
Patient Satisfaction
Retrospective Studies

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


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