Moderate to Severe Hallux Valgus Deformities. Surgical treatment with SCARF Osteotomy Technique.
Introduction; Many procedures are described in the literature for the surgical management of hallux valgus. There are over 130 surgical procedures described. There is ever rising enthusiasm among orthopedic surgeons regarding diaphyseal osteotomy ever since Burutaran described the procedure in 1973....
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| Format: | Article |
| Language: | English |
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Albanian Society for Trauma and Emergency Surgery
2022-01-01
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| Series: | Albanian Journal of Trauma and Emergency Surgery |
| Subjects: | |
| Online Access: | http://journal.astes.org.al/index.php/AJTES/article/view/179 |
| _version_ | 1818775128428773376 |
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| author | Julian Ruci Eduart Gjika |
| author_facet | Julian Ruci Eduart Gjika |
| author_sort | Julian Ruci |
| collection | DOAJ |
| description | Introduction; Many procedures are described in the literature for the surgical management of hallux valgus. There are over 130 surgical procedures described. There is ever rising enthusiasm among orthopedic surgeons regarding diaphyseal osteotomy ever since Burutaran described the procedure in 1973. We report our experience of treating severe cases of Hallux Valgus deformity with a SCARF osteotomy at the last three years follow-up, at patients diagnosed and operated in the University Hospital of Trauma, from January 2015 - February 2018. The technique we are presenting, provides the correction of moderate to severe hallux valgus deformities.
Material and 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 consecutive patients (54 feet). All 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 attitude of 6-12 weeks, without including physiotherapy. Persistence or recurrence of hallux valgus was seen in 3 patients (8%). The complication rate was 5.4% including superficial wound infection, atrophy of the muscles, traumatic dislocation of the distal fragment.
Conclusion: Scarf osteotomy is a powerful and versatile procedure to correct hallux valgus deformity, and provides a predictable and satisfying result. Scarfs are not considered as a single osteotomy but as a combination of several procedures and displacement in several planes are possible. |
| first_indexed | 2024-12-18T10:52:07Z |
| format | Article |
| id | doaj.art-93871d27c3b44f9086fa68555be554d1 |
| institution | Directory Open Access Journal |
| issn | 2521-8778 2616-4922 |
| language | English |
| last_indexed | 2024-12-18T10:52:07Z |
| publishDate | 2022-01-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj.art-93871d27c3b44f9086fa68555be554d12022-12-21T21:10:26ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222022-01-016110.32391/ajtes.v6i1.179Moderate to Severe Hallux Valgus Deformities. Surgical treatment with SCARF Osteotomy Technique.Julian Ruci0Eduart Gjika1University Hospital of TraumaUniversity Hospital of TraumaIntroduction; Many procedures are described in the literature for the surgical management of hallux valgus. There are over 130 surgical procedures described. There is ever rising enthusiasm among orthopedic surgeons regarding diaphyseal osteotomy ever since Burutaran described the procedure in 1973. We report our experience of treating severe cases of Hallux Valgus deformity with a SCARF osteotomy at the last three years follow-up, at patients diagnosed and operated in the University Hospital of Trauma, from January 2015 - February 2018. The technique we are presenting, provides the correction of moderate to severe hallux valgus deformities. Material and 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 consecutive patients (54 feet). All 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 attitude of 6-12 weeks, without including physiotherapy. Persistence or recurrence of hallux valgus was seen in 3 patients (8%). The complication rate was 5.4% including superficial wound infection, atrophy of the muscles, traumatic dislocation of the distal fragment. Conclusion: Scarf osteotomy is a powerful and versatile procedure to correct hallux valgus deformity, and provides a predictable and satisfying result. Scarfs are not considered as a single osteotomy but as a combination of several procedures and displacement in several planes are possible.http://journal.astes.org.al/index.php/AJTES/article/view/179metatarsal boneosteotomyanglerestore deformity |
| spellingShingle | Julian Ruci Eduart Gjika Moderate to Severe Hallux Valgus Deformities. Surgical treatment with SCARF Osteotomy Technique. Albanian Journal of Trauma and Emergency Surgery metatarsal bone osteotomy angle restore deformity |
| title | Moderate to Severe Hallux Valgus Deformities. Surgical treatment with SCARF Osteotomy Technique. |
| title_full | Moderate to Severe Hallux Valgus Deformities. Surgical treatment with SCARF Osteotomy Technique. |
| title_fullStr | Moderate to Severe Hallux Valgus Deformities. Surgical treatment with SCARF Osteotomy Technique. |
| title_full_unstemmed | Moderate to Severe Hallux Valgus Deformities. Surgical treatment with SCARF Osteotomy Technique. |
| title_short | Moderate to Severe Hallux Valgus Deformities. Surgical treatment with SCARF Osteotomy Technique. |
| title_sort | moderate to severe hallux valgus deformities surgical treatment with scarf osteotomy technique |
| topic | metatarsal bone osteotomy angle restore deformity |
| url | http://journal.astes.org.al/index.php/AJTES/article/view/179 |
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