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Journal of Children's Orthopaedics
Published in: Journal of Children's Orthopaedics 3/2009

01-06-2009 | Original Clinical Article

Outcome of the scarf osteotomy in adolescent hallux valgus

Authors: H. L. George, J. Casaletto, P. N. Unnikrishnan, D. Shivratri, L. A. James, Alfie Bass, Colin E. Bruce

Published in: Journal of Children's Orthopaedics | Issue 3/2009

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Abstract

Purpose

We have reported the radiological and clinical outcome of scarf osteotomy in the treatment of moderate to severe hallux valgus among adolescent children.

Method

Data were collected retrospectively between April 2001 and June 2006. The pre- and post-operative intermetatarsal angle (IMA), hallux valgus angle (HVA) and distal metatarsal articular angle (DMAA) were determined. Patients were followed up for a mean of 37.6 months.

Results

Thirteen patients with 19 operated feet were available at the time of the latest follow-up. There was significant improvement in the mean post-operative IMA, which was maintained to the last follow-up. There was statistically significant improvement in the 6-week post-operative HVA and DMAA. However, this was lost at the final follow-up. The mean American Orthopaedic Foot and Ankle Society score for the whole group was 80 (54–100).

Conclusion

This study indicates that scarf osteotomy should be used with caution in symptomatic adolescent hallux valgus, as there is a high recurrence rate.
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Metadata
Title
Outcome of the scarf osteotomy in adolescent hallux valgus
Authors
H. L. George
J. Casaletto
P. N. Unnikrishnan
D. Shivratri
L. A. James
Alfie Bass
Colin E. Bruce
Publication date
01-06-2009
Publisher
Springer Berlin Heidelberg
Published in
Journal of Children's Orthopaedics / Issue 3/2009
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI
https://doi.org/10.1007/s11832-009-0177-6

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