SCARF Osteotomy for Correction of Hallux Valgus

Authors

  • Vilson Ruci

Abstract

Aim: Hallux valgus deformity surgical treatment has improved during last years. The authors present and report their experience with a modified SCARF osteotomy with three years follow-up, with patients diagnosed and operated in the Universitary Clinic of Orthopaedic and Traumatology of Mother Teresa Hospital,from January 2011-March 2014. The presented technique provides predictable correction of moderate to severe hallux valgus deformities.

Methods: Correction of hallux valgus deformities was achieved using a Z step osteotomy cut to realign the first metatarsal bone. A retrospective analysis was undertaken in 38 patients (54 feet).Results were analyzed by clinical examination, a questionnaire including the AOFAS forefoot score,modified, and plain roentgenograms.

Results: Hallux valgus and intermetatarsal angle improved at mean 19.6° and 6.9°, respectively. Mean forefoot score improved from 50.1 to 91 points out of 100 possible points. Satisfactory healing time was expressed by an average return back to their atitude of 6 weeks, without including phisiotherapy. Persistence or recurrence of hallux valgus was seen in 3 patients (8%). The complication rate was 5.4% including post operative pain, superficial wound infection, atrophy of the muscles, traumatic dislocation of the distal fragment.

Conclusion: The presented technique provides predictable correction of moderate to severe hallux valgus deformities.

Keywords: metatarsal, bone, osteotomy, angle, restore, deformity, syntheses, healing, pain, weight bearing.

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Published

2017-09-24

How to Cite

Ruci, V. (2017). SCARF Osteotomy for Correction of Hallux Valgus. ANGLISTICUM. Journal of the Association-Institute for English Language and American Studies, 3(12), 52–55. Retrieved from https://anglisticum.org.mk/index.php/IJLLIS/article/view/1514

Issue

Vol. 3 No. 12 (2014): Volume 3, No.12, December 2014

Section

Volume 3, No.12, December, 2014

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