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KMID : 1130920130170040272
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Journal of Korean Foot and Ankle Society
2013 Volume.17 No. 4 p.272 ~ p.276
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Scarf Osteotomy for the Treatment of Recurred Hallux Valgus
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Nam Il-Hyun
Ahn Gil-Yeong
Moon Gi-Huk
Lee Yeong-Hyeon
Choi Seong-Pil
Jeong Taeg-Young
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Abstract
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Purpose: Recurrence is one of the most common complications after primary correction for hallux valgus deformities. Thepurpose of this study was to evaluate the usefulness of Scarf osteotomy with axial decompression in the treatment of recurrenthallux valgus.
Materials and Methods: From April 2006 to April 2011, 14 cases (12 patients) of recurrent hallux valgus were managedwith shortening Scarf osteotomy. Preoperative and postoperative radiographs were reviewed for the measurement of the halluxvalgus angle (HVA), intermetatarsal angle (IMA), and the amount of the 1st metatarsal shortening. Clinical outcomes includingthe visual analogue scale (VAS), the AOFAS score, and the range of motion [ROM] of the 1st metatarsophalangeal (MTP) jointwere evaluated.
Results: The mean HVA decreased from 27.9 degrees to 5.2 and the mean IMA decreased from 12.9 to 3.4. The mean VASimproved from 5.3 to 0.3 and the mean AOFAS score improved from 41 to 90. The mean amount of the 1st metatarsalshortening was 3.4 mm (2-5). The mean ROM of the 1st MTP joint improved from 22 degrees (15-35) to 68 (55-75).
Conclusion: Scarf osteotomy associated with axial decompression can be a useful revision procedure for the treatment ofrecurrent hallux valgus deformity.
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KEYWORD
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Hallux Valgus, Recurrence, Revision, Scarf osteotomy, Axial decompression
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