Clinical results of scarf osteotomy

Author:

Gluscevic Boris1,Stanojkovic Aleksandar2,Bukumiric Dragica3ORCID,Jeremic Danilo1ORCID

Affiliation:

1. Institute for Orthopedic Surgery “Banjica”, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia

2. Institute for Orthopedic Surgery “Banjica”, Belgrade, Serbia

3. Institute of Public Health of Serbia “Dr. Milan Jovanović Batut”, Belgrade, Serbia

Abstract

Background/Aim. There are a few research papers in Serbia that report on the clinical results of scarf osteotomy (SO) and its long-term effects. The aim of this retrospective study was to evaluate the efficacy of SO in hallux valgus (HV) deformity correction, as well as the degree of recurrence and its possible causes. Methods. The study included 48 patients (52 feet) who underwent SO. The average follow-up time was 103.9 (63?156) months. In order to clinically evaluate the results, the American Orthopedic Foot and Ankle Society (AOFAS) scale and the Visual Analog Scale (VAS) of pain were used. In order to radiographically determine the degree of deformity, preoperative and postoperative radiographs of the feet were taken in the standing position, and the following parameters were determined: HV angle (HVA), intermetatarsal angle, distal metatarsal articular angle, and sesamoid position. Results. The AOFAS scores increased from 19 (5?45) points preoperatively to 92 (54?100) points at the time of the latest follow-up examination (p < 0.001). The VAS values significantly improved from 10 (8?10) preoperatively to 0 (0?6). The average HVA correction was 24.8?. The recurrence rate in patients in whom the HVA was greater than 20? was 26.9%. Conclusion. Although SO is a proven procedure for the correction of HV, long-term results still show a relatively high rate of recurrence.

Publisher

National Library of Serbia

Subject

Pharmacology (medical)

Reference23 articles.

1. Meyer M. Eine neue modifikation der hallux valgus operation. Zbl Chir 1926; 53: 3265-8. (German)

2. Burutaran JM. Hallux valgus y cortedad anatomica del primer metatarsano (correction quinrusica). Actual Med Chir Pied 1976; 13: 261-6. (Spanish)

3. Borelli AN, Weil LS. Modified Scarf bunionectomy: Our experience in more than 1000 cases. J Foot Surg 1991; 30: 609-22.

4. Barouk LS. Scarf osteotomy for hallux valgus correction. Local anatomy, surgical technique, and combination with other fore-foot procedures. Foot Ankle Clin 2000; 5(3): 525-58.

5. Lipscombe S, Molloy A, Sirikonda S, Hennessy MS. Scarf osteotomy for the correction of hallux valgus: midterm clinical outcome. J Foot Ankle Surg 2008; 47(4): 273-7.

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