Hallux valgus correction using Scarf-Osteotomy leads to shortening of the first metatarsal:

Foot & Ankle Orthopaedics

ChristopherLenz¹ 

关键词: Hallux valgus;    Scarf;    Akin;    Osteotomy;    Correction;    Shortening;    Hallux valgus angle;    Intermetatarsal angle;   

DOI  :  10.1177/2473011418S00320

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:BunionIntroduction/Purpose:In hallux valgus deformity less weight can be borne by the first ray which may lead to transfer metatarsalgia and lesser toe deformities. Depending on the exact configuration of the bone cuts during the scarf procedure, an iatrogenic shortening of the first metatarsal may occur which may diminish weightbearing ability of the first ray as well, causing transfer metatarsalgia. The aim of the present study was therefore to determine preoperative and postoperative changes in length of the first metatarsal by using different methods of measuring metatarsal length.Methods:A consecutive series of 118 feet in 106 patients (89% female, 11% male) was enrolled, who underwent correctional osteotomy (Scarf-with/without Akin-Osteotomy) from May 2015 to July 2017 at a single institution. Patients, who underwent additional shortening osteotomy of the metatarsals, were excluded. Average age at the time of surgery was 51 years (range, 14 to 83 years). Pre- and postoperative angle measure...

【 授权许可】

CC BY