Treatment of hallux valgus by scarf osteotomy

Objective: To assess the clinical and radiographic results of the scarf osteotomy in the treatment of moderate-severe hallux valgus. Patients and methods: We performed a retrospective study of 25 scarf, in 19 women and 6 men, with average age of 45 years and an average follow up of 11 months for the treatment of the moderate-severe hallux valgus. We assessed the clinical outcome pre and posoperative according to the American Orthopaedic Foot and Ankle Society (AOFAS) scale and radiological outcome, with measuring the angles intermetatarsal (IMA), of hallux valgus (HVA) and distal of metatarsal-phalang joint (DMAA), pre and postoperative. Results: The average stay of revenue was one day. According to the AOFAS scale, we obtained a global preoperative score of 34.4 and postoperative of 92.4. About the postoperative radiological findings, we obtained an average IMA of 8.8 degrees and HVA of 18.2 degrees. The DMAA was less than 10 degrees except in 1 patient. Conclusion: The scarf osteotomy offers an early load, an early metatarsal-phalang joint mobility and an early osteotomy consolidation.