Abstract
This study assessed the radiological measurements, American Orthopaedic Foot and Ankle
Society (AOFAS) scores, and patient satisfaction associated with performance of the
scarf osteotomy, combined with an Akin osteotomy, for the treatment of hallux valgus
in patients at a general hospital. Thirty-five patients were assessed before surgery,
and at 6 months following performance of the scarf first metatarsal osteotomy plus
Akin osteotomy. The mean first intermetatarsal and hallux abductus angles reduced
from 14.1° ± 3.5° to 10.0° ± 3.2° and 32.1° ± 9.9° to 16.4° ± 7.9°, respectively,
and these differences were statistically significant (P < .001). The mean first to second metatarsal sagittal plane length ratio was unchanged
by the osteotomy (P > .05). The mean global AOFAS Hallux Metatarsophalangeal-Interphalangeal score increased
from 58.8 ± 11.6 to 86.4 ± 11.6, and this difference was statistically significant
(P < .0001). Of the 35 patients (36 operated feet), 20 (57.1%) were extremely satisfied,
10 (28.6%) were satisfied, and 5 (14.3%) were unsatisfied with the results of the
surgery. Based on these results, we concluded that the improved radiographic angles
and AOFAS scores observed in this study were comparable to previously reported results,
and our findings indicated that, in the setting of a general hospital, the scarf osteotomy
combined with the Akin osteotomy is a safe, versatile and useful procedure for the
treatment of hallux valgus.
Level of Clinical Evidence
Keywords
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Article info
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
