The scarf osteotomy for severe hallux valgus

• Published in: International orthopaedics Vol. 27; no. 2; pp. 103 - 106
• Main Authors: PERUGIA, Dario, BASILE, Attilio, GENSINI, Alessandro, STOPPONI, Marcello, MINNITI DE SIMEONIBUS, Angelo Ugo
• Format: Journal Article
• Language: English
• Published: Berlin Springer 2003
• Subjects: Adult; Aged; Biological and medical sciences; Female; Hallux Valgus - diagnostic imaging; Hallux Valgus - surgery; Humans; Male; Medical sciences; Middle Aged; Orthopedic surgery; Osteotomy - methods; Radiography; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Treatment Outcome; Human; Deformation; Prognosis; Osteotomy; Diseases of the osteoarticular system; Lower limb; Big toe; Hallux valgus; Orthopedic surgery; Treatment; Disease of the foot; Severity score; Medium term; Technique
• ISSN: 0341-2695; 1432-5195
• DOI: 10.1007/s00264-002-0413-x

We reviewed the outcome of 33 patients (45 feet) treated by scarf osteotomy for hallux valgus deformity with an intermetatarsal (IM) angle equal to or greater than 16 degrees. The average follow-up was 26 months. The hallux valgus angle improved by an average of 21.1 degrees from a preoperative mean value of 32.1 degrees. The IM 1-2 angle improved an average of 9.9 degrees from a preoperative mean value of 18.3 degrees. American Orthopedic Foot and Ankle Society (AOFAS) score changed from a preoperative average of 35.7 points to 89.8 at follow-up. Our midterm results indicate that the scarf osteotomy provides an effective method for the treatment of severe bunion deformity.