The term scarf osteotomy was first used by Weil when presenting his results from more than 1000 cases. Scarf is a carpentry term describing beveling the ends of 2 pieces of wood and securely fastening them so that they overlap to create one continuous piece. This technique was popularized by Weil and Barouk as a versatile method of correcting hallux valgus while maintaining the blood supply to the metatarsal head. It also has rigid fixation, allowing early mobilization. This article addresses the surgical technique of the scarf osteotomy together with the results and complications of hallux valgus correction.
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Current concepts of fourth-generation minimally invasive and open hallux valgus surgery.
Bone Joint J
January 2025
King's Foot and Ankle Unit, King's College Hospital NHS Foundation Trust, London, UK.
Hallux valgus (HV) presents as a common forefoot deformity that causes problems with pain, mobility, footwear, and quality of life. The most common open correction used in the UK is the Scarf and Akin osteotomy, which has good clinical and radiological outcomes and high levels of patient satisfaction when used to treat a varying degrees of deformity. However, there are concerns regarding recurrence rates and long-term outcomes.
View Article and Find Full Text PDFBackground: There is a high correlation between hallux valgus and pes planus deformity. We sought to evaluate the outcomes of simultaneous Scarf osteotomy and extraosseous talotarsal stabilization (EOTTS) for correcting adult hallux valgus with flexible pes planus deformity.
Materials And Methods: This retrospective study enrolled patients who had hallux valgus deformity with flexible pes planus and underwent combined Scarf osteotomy and EOTTS from January 2018 to October 2021.
Modified scarf osteotomy has a possible capability to be indicated against very severe hallux valgus deformity.
BMC Musculoskelet Disord
November 2024
Department of Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center, 2-1 Kidohigashimachi, Kawachinagano City, Osaka, 586-8521, Japan.
Background: Generally, scarf osteotomy is recommended for moderate-severe hallux valgus (HV) deformity. Although severe HV deformity is defined to be more than 40 degree (°), this definition of angular setting includes broad range of HV angle (HVA). Actually, very severe HV deformity such as more than 60° of the HVA is often seen.
View Article and Find Full Text PDFRecurrence rates with long-term follow-up after hallux valgus surgical treatment using shaft metatarsal osteotomies: a systematic review and meta-analysis.
EFORT Open Rev
October 2024
Clinique Trénel, Sainte, Colombe, France.
Purpose: Recurrence of hallux valgus (HV) following corrective surgery is a frequent concern. A recent systematic review estimated recurrence of HV in only 4.9%, which may be an underestimation, as most included studies had short- to mid-term follow-up.
View Article and Find Full Text PDFAllograft Screws as Fixation of the Scarf Osteotomy.
J Clin Med
September 2024
Department of Orthopedics and Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria.
In comparison to titanium screws, novel cortical bone allograft screws may come with advantages in osseointegration and with avoidance of potential material removal surgery after scarf osteotomy. A scarf osteotomy with allograft bone screws as fixation was performed in 21 patients (30 feet). Clinical and radiological parameters were prospectively collected until one year after surgery.
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