The scarf osteotomy for the treatment of hallux valgus deformity: a review of 84 cases.

Détails

ID Serval
serval:BIB_A576D4ADF24B
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
The scarf osteotomy for the treatment of hallux valgus deformity: a review of 84 cases.
Périodique
Foot & Ankle International
Auteur(s)
Crevoisier X., Mouhsine E., Ortolano V., Udin B., Dutoit M.
ISSN
1071-1007
Statut éditorial
Publié
Date de publication
2001
Peer-reviewed
Oui
Volume
22
Numéro
12
Pages
970-976
Langue
anglais
Notes
Publication types: Journal Article ; Review - Publication Status: ppublish
Résumé
This study reviewed the subjective, clinical and radiological outcome of 71 patients (84 feet) treated by scarf osteotomy for hallux valgus deformity at our institution from 1995 to 1998 with an average follow-up time of 22 months (range, 17 to 48 months). At the time of follow-up, 39% of the patients were very satisfied, 50% were satisfied and 11% were not satisfied. The mean AOFAS score raised significantly from 43 points (14-68) preoperatively to 82 points (39 to 100) at follow-up (p < 0.001). The radiological angles including M1-M2, M1-P1, M1-M5 and DMAA improved significantly (p < 0.001). Among the 16 complications recorded, seven (8%) were minor and nine (11%) required an additional procedure. The scarf osteotomy of the first metatarsal coupled with a lateral soft-tissue release and, in three-quarters of our cases, with a basal closing wedge varisation osteotomy of the first phalanx, resulted in overall high satisfaction rate as well as significant clinical and radiological improvements in our series. Nevertheless, the range of motion of the first MP joint remained low: 30 degrees to 74 degrees in 52 patients (62%) and <30 degrees in four patients (5%). Furthermore, the mobility of the first ray as well as the consequences of the procedure in the sagittal plane need to be assessed more accurately, and this may be achieved by incorporating measurement of the plantar pressures in the forefoot area into the global rating system.
Mots-clé
Adult, Aged, Female, Follow-Up Studies, Hallux Valgus/diagnosis, Hallux Valgus/surgery, Humans, Male, Middle Aged, Osteotomy/methods, Pain Measurement, Patient Satisfaction, Probability, Range of Motion, Articular/physiology, Recovery of Function, Retrospective Studies, Severity of Illness Index, Treatment Outcome
Pubmed
Web of science
Création de la notice
28/01/2008 13:25
Dernière modification de la notice
20/08/2019 16:10
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