Scarf osteotomy with or without proximal phalangeal osteotomy for severe hallux valgus deformity

被引:15
|
作者
Marudanayagam, Ashok [1 ]
Appan, Sadai V. [2 ]
机构
[1] Univ Wales Hosp, Cardiff CF4 4XW, S Glam, Wales
[2] Withybush Gen Hosp, Haverfordwest, England
关键词
hallux valgus; metatarsophalangeal joint; osteotomy; METATARSAL SHAFT OSTEOTOMIES; COMPLICATIONS;
D O I
10.1177/230949901402200111
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose. To report outcome of Scarf osteotomy with or without proximal phalangeal osteotomy for correction of severe hallux valgus deformity. Methods. Records of 48 women and 4 men aged 28 to 68 (mean, 52) years who underwent 57 Scarf osteotomies with or without proximal phalangeal osteotomy for severe hallux valgus by a single surgeon were reviewed. The patients had a hallux valgus angle (HVA) of up to 55 degrees. An additional proximal phalangeal osteotomy was performed in 11 of the patients whose hallux valgus persisted (HVA > 10 degrees). The American Orthopaedic Foot and Ankle Society (AOFAS) hallux score, the HVA and intermetatarsal angle (IMA) on radiographs, and the complication rate were assessed. Results. The mean follow-up period was 26 (range, 24-36) months. The mean AOFAS hallux score improved from 57.4 (range, 49-64) to 91.6 (range, 75-100). The mean HVA improved from 38.1 degrees (range, 28 degrees-52 degrees) to 12.8 degrees (range, 5 degrees-20 degrees). The mean IMA improved from 17.0 degrees (range, 13 degrees - 24 degrees) to 6.8 degrees (range, 3 degrees-10 degrees). One patient developed chronic regional pain syndrome. There were no instances of non-union, delayed union, or malunion of the osteotomy site. Conclusion. Scarf osteotomy with or without proximal phalangeal osteotomy is an effective treatment for correcting severe hallux valgus deformity.
引用
收藏
页码:39 / 41
页数:3
相关论文
共 50 条
  • [1] PROXIMAL PHALANGEAL OSTEOTOMY IN HALLUX VALGUS
    COLLOFF, B
    WEITZ, EM
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1966, A 48 (07): : 1442 - &
  • [2] The scarf osteotomy for severe hallux valgus
    Perugia, D
    Basile, A
    Gensini, A
    Stopponi, M
    De Simeonibus, AUM
    [J]. INTERNATIONAL ORTHOPAEDICS, 2003, 27 (02) : 103 - 106
  • [3] The scarf osteotomy for severe hallux valgus
    Dario Perugia
    Attilio Basile
    Alessandro Gensini
    Marcello Stopponi
    Angelo Simeonibus
    [J]. International Orthopaedics, 2003, 27 : 103 - 106
  • [4] Modified Proximal Scarf Osteotomy for Hallux Valgus
    Young, Ki Won
    Lee, Hong Seop
    Park, Seong Cheol
    [J]. CLINICS IN ORTHOPEDIC SURGERY, 2018, 10 (04) : 479 - 483
  • [5] PROXIMAL PHALANGEAL OSTEOTOMY FOR CORRECTION OF HALLUX VALGUS
    SILBERMAN, FS
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 1972, (85) : 98 - +
  • [6] ASSESSMENT OF THE PROXIMAL PHALANGEAL OSTEOTOMY FOR HALLUX VALGUS
    MAXWELL, AR
    HOOPER, GJ
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1988, 70 (03): : 507 - 507
  • [7] Scarf Osteotomy for Correction of Hallux Valgus Deformity in Adolescents
    Wang, Xin-wen
    Wen, Qian
    Li, Yi
    Liu, Cheng
    Zhao, Kai
    Zhao, Hong-mou
    Liang, Xiao-jun
    [J]. ORTHOPAEDIC SURGERY, 2019, 11 (05) : 873 - 878
  • [8] Proximal crescentric osteotomy in the treatment of severe hallux valgus deformity
    Gul, Deniz
    Akpancar, Serkan
    [J]. CHIRURGIA-ITALY, 2020, 33 (01): : 36 - 39
  • [9] Scarf Osteotomy for Correction of Hallux Abducto Valgus Deformity
    Weil, Lowell, Jr.
    Bowen, Michael
    [J]. CLINICS IN PODIATRIC MEDICINE AND SURGERY, 2014, 31 (02) : 233 - +
  • [10] Bosch Osteotomy and Scarf Osteotomy for Hallux Valgus Correction
    Maffulli, Nicola
    Longo, Umile Giuseppe
    Oliva, Francesco
    Denaro, Vincenzo
    Coppola, Cristiano
    [J]. ORTHOPEDIC CLINICS OF NORTH AMERICA, 2009, 40 (04) : 515 - +