SCARF Osteotomy for Correction of Hallux Valgus

Aim: Hallux valgus deformity surgical treatment has improved during last years. The authors present and report their experience with a modified SCARF osteotomy with three years follow-up, with patients diagnosed and operated in the Universitary Clinic of Orthopaedic and Traumatology of Mother Teresa Hospital,from January 2011-March 2014. The presented technique provides predictable correction of moderate to severe hallux valgus deformities.Methods: Correction of hallux valgus deformities was achieved using a Z step osteotomy cut to realign the first metatarsal bone. A retrospective analysis was undertaken in 38 patients (54 feet).Results were analyzed by clinical examination, a questionnaire including the AOFAS forefoot score,modified, and plain roentgenograms.Results: Hallux valgus and intermetatarsal angle improved at mean 19.6° and 6.9°, respectively. Mean forefoot score improved from 50.1 to 91 points out of 100 possible points. Satisfactory healing time was expressed by an average return back to their atitude of 6 weeks, without including phisiotherapy. Persistence or recurrence of hallux valgus was seen in 3 patients (8%). The complication rate was 5.4% including post operative pain, superficial wound infection, atrophy of the muscles, traumatic dislocation of the distal fragment.Conclusion: The presented technique provides predictable correction of moderate to severe hallux valgus deformities.Keywords: metatarsal, bone, osteotomy, angle, restore, deformity, syntheses, healing, pain, weight bearing