Outcomes of Scarf Osteotomy for Hallux Valgus Deformity

Abstract

Background: Hallux valgus is one of the most common chronic foot conditions inorthopedicpractice, affecting 23% of the population. Despite more than 130 different treatment techniques described in the literature for the correction of this deformity, there is no single procedure that has consistently shown superiority in comparison to others. The aim of this study was to prospectively evaluate the functional, clinical and radiological outcomes of Scarf osteotomy for hallux valgus deformity. Methods: This study was conducted Benha University Hospitals on 20 patients who were candidate for operative treatment of hallux valgus deformity. Results: The mean age of patients was 48.54 years. and 4 patients (20 %) were males and 7 patients (80 %) were female, The mean total AOFAS score was (47.5 ±\xa0 16.1) preoperative as pain recorded mean score of 16.2, total function 29.4 and mean\xa0 Alignment scored 1.9 point. After a proximally\xa0 3 months of surgery Dorso-plantar weight bearing radiographs were done again. The mean Intermetatarsal angle (IMA) was 12.2o, Hallux valgus angle (HVA) was 14.9o, Proximal phalangeal articular angle was 8.8o and Distal metatarsal articular angle (DMAA) was 12.1o, The mean total AOFAS score was (88.9 ±\xa0 19.3) postoperative as pain recorded mean score of 34.6, total function 40.4 and mean\xa0 Alignment raised to 13.9 point. Conclusion: Scarf osteotomy for moderate to severe degrees of hallux valgus had very good results over 3 months follow-up with a low complication rate.