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International Orthopaedics
Published in: International Orthopaedics 4/2017

Open Access 01-04-2017 | Original Paper

Being overweight has limited effect on SCARF osteotomy outcome for hallux valgus correction

Authors: Marcin A. Milczarek, Julia J. Milczarek, Bartłomiej Tomasik, Przemysław Łaganowski, Krzysztof Nowak, Marcin Domżalski

Published in: International Orthopaedics | Issue 4/2017

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Abstract

Purpose

The purpose of this study was to investigate the association between body mass index (BMI) and the results of SCARF osteotomy of the first metatarsal for hallux valgus (HV) correction, as the literature on this is scant.

Methods

This prospective study was carried out between 2011 and 2015. One hundred and thirty-three patients diagnosed with moderate to severe HV underwent a SCARF corrective osteotomy. We divided the patients into two groups according to their BMI: normal and overweight. Postoperative follow-up was two years. All patients were examined twice by two medical doctors simultaneously: pre-operatively and post-operatively at two years’ follow-up. Data collected included biometrical records, X-rays [HV angle (HVA), intermetatarsal angle (IMA), American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal Index (AOFAS-HMI) and visual analogue scale (VAS) for pain and satisfaction].

Results

There was a significant difference between patient age (p = 0.001), age at onset (p < 0.001) and AOFAS-HMI (p = 0.035) at follow-up. Other parameters were similar in both groups.

Conclusion

Regardless of BMI, the radiological outcome was comparable. Despite a significant difference in AOFAS-HMI results, pain and satisfaction level were similar. The authors agreed that high BMI has protective role in the prevalence of HV.
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Metadata
Title
Being overweight has limited effect on SCARF osteotomy outcome for hallux valgus correction
Authors
Marcin A. Milczarek
Julia J. Milczarek
Bartłomiej Tomasik
Przemysław Łaganowski
Krzysztof Nowak
Marcin Domżalski
Publication date
01-04-2017
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 4/2017
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-017-3419-0

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