LONG-TERM OUTCOMES AFTER SCARF OSTEOTOMY FOR HALLUX VALGUS: 9 YEARS OF CLINICAL AND RADIOLOGICAL FOLLOW-UP
Abstract:
The middiaphyseal metatarsal Scarf osteotomy has become increasingly popular over the
years because it provides great versatility, high stability and early weight-bearing. Even so, only a few
studies exist in the literature with regard to long-term outcomes. In this paper we report the results of
our study on 23 patients with a mean follow-up of 9 years. Between January 1998 and December 2003,
31 patients (41 feet) underwent this type of osteotomy. During the follow-up, 8 cases were lost. Clinical
evaluation based on the American Orthopaedic Foot and Ankle Society score proved a significant
improvement from 52 to 85 points (p – 0.0001). Radiological assessment pointed the reduction of first
intermetatarsal angle (IMA) with a mean of 5 degrees (p – 0.0001) and hallux valgus angle with 19
degrees (p-0.0001). These results confirm the reliability of Scarf osteotomy in the treatment of moderateto-
severe hallux valgus deformities.
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