Long-term clinical outcomes of scarf osteotomy in regional hospital Hong Kong
Background: Lack of local data concerning the long-term clinical outcomes of scarf osteotomy in Hong Kong. Methods: This is a retrospective review of 75 patients (88 feet) who underwent scarf osteotomy with a mean follow-up of 94.20 months (60–144 months). Clinical ratings were based on visual analo...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2020-06-01
|
Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
Online Access: | https://doi.org/10.1177/2210491719881768 |
_version_ | 1818549222232817664 |
---|---|
author | Ng Weng-Io Chan Kwok-Bill Yeung Yuk-Nam |
author_facet | Ng Weng-Io Chan Kwok-Bill Yeung Yuk-Nam |
author_sort | Ng Weng-Io |
collection | DOAJ |
description | Background: Lack of local data concerning the long-term clinical outcomes of scarf osteotomy in Hong Kong. Methods: This is a retrospective review of 75 patients (88 feet) who underwent scarf osteotomy with a mean follow-up of 94.20 months (60–144 months). Clinical ratings were based on visual analog scale (VAS) and American Orthopaedic Foot & Ankle Society (AOFAS) scale. Weight-bearing radiographs were used to perform angular measurements: (i) hallux valgus angle (HVA), (ii) intermetatarsal angle, (iii) distal metatarsal articular angle, and (iv) tibial sesamoid position before operation and at the time of latest follow-up. Results: The mean overall AOFAS scales improved from 29.66 (5–49) points preoperatively to 86.83 (39–100) points at the time of final follow-up. The VAS improved from 6.61 (5 to 9) to 0.66 (0 to 4). The average HVA correction was 25.42 (8–46). The 8- to10-year recurrence rate (HVA > 20) was 31.80%. A higher degree of preoperative HVA predicts higher recurrence rate. Conclusion: Scarf osteotomy is an effective procedure for symptom control and improvement in radiological parameters for hallux valgus deformity. However, recurrence rate is relatively high. |
first_indexed | 2024-12-12T08:30:34Z |
format | Article |
id | doaj.art-97fb2611434e4e2b8820eee8d319809a |
institution | Directory Open Access Journal |
issn | 2210-4917 2210-4925 |
language | English |
last_indexed | 2024-12-12T08:30:34Z |
publishDate | 2020-06-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Journal of Orthopaedics, Trauma and Rehabilitation |
spelling | doaj.art-97fb2611434e4e2b8820eee8d319809a2022-12-22T00:31:07ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49172210-49252020-06-012710.1177/2210491719881768Long-term clinical outcomes of scarf osteotomy in regional hospital Hong KongNg Weng-IoChan Kwok-BillYeung Yuk-NamBackground: Lack of local data concerning the long-term clinical outcomes of scarf osteotomy in Hong Kong. Methods: This is a retrospective review of 75 patients (88 feet) who underwent scarf osteotomy with a mean follow-up of 94.20 months (60–144 months). Clinical ratings were based on visual analog scale (VAS) and American Orthopaedic Foot & Ankle Society (AOFAS) scale. Weight-bearing radiographs were used to perform angular measurements: (i) hallux valgus angle (HVA), (ii) intermetatarsal angle, (iii) distal metatarsal articular angle, and (iv) tibial sesamoid position before operation and at the time of latest follow-up. Results: The mean overall AOFAS scales improved from 29.66 (5–49) points preoperatively to 86.83 (39–100) points at the time of final follow-up. The VAS improved from 6.61 (5 to 9) to 0.66 (0 to 4). The average HVA correction was 25.42 (8–46). The 8- to10-year recurrence rate (HVA > 20) was 31.80%. A higher degree of preoperative HVA predicts higher recurrence rate. Conclusion: Scarf osteotomy is an effective procedure for symptom control and improvement in radiological parameters for hallux valgus deformity. However, recurrence rate is relatively high.https://doi.org/10.1177/2210491719881768 |
spellingShingle | Ng Weng-Io Chan Kwok-Bill Yeung Yuk-Nam Long-term clinical outcomes of scarf osteotomy in regional hospital Hong Kong Journal of Orthopaedics, Trauma and Rehabilitation |
title | Long-term clinical outcomes of scarf osteotomy in regional hospital Hong Kong |
title_full | Long-term clinical outcomes of scarf osteotomy in regional hospital Hong Kong |
title_fullStr | Long-term clinical outcomes of scarf osteotomy in regional hospital Hong Kong |
title_full_unstemmed | Long-term clinical outcomes of scarf osteotomy in regional hospital Hong Kong |
title_short | Long-term clinical outcomes of scarf osteotomy in regional hospital Hong Kong |
title_sort | long term clinical outcomes of scarf osteotomy in regional hospital hong kong |
url | https://doi.org/10.1177/2210491719881768 |
work_keys_str_mv | AT ngwengio longtermclinicaloutcomesofscarfosteotomyinregionalhospitalhongkong AT chankwokbill longtermclinicaloutcomesofscarfosteotomyinregionalhospitalhongkong AT yeungyuknam longtermclinicaloutcomesofscarfosteotomyinregionalhospitalhongkong |