Advertisement for orthosearch.org.uk
Orthopaedic Proceedings Logo

Receive monthly Table of Contents alerts from Orthopaedic Proceedings

Comprehensive article alerts can be set up and managed through your account settings

View my account settings

Visit Orthopaedic Proceedings at:

Loading...

Loading...

Full Access

Children's Orthopaedics

SCARF OSTEOTOMY IN THE MANAGEMENT OF SYMPTOMATIC ADOLESCENT HALLUX VALGUS

British Society for Children's Orthopaedic Surgery (BSCOS)



Abstract

Purpose of this study

This study was designed to assess the utility of the scarf osteotomy in the management of symptomatic adolescent hallux valgus.

Methods

This is a consecutive case series of 30 patients (38 feet) with a mean follow up of 38.2 months (range 6-60 months). The mean age at the time of surgery was 14.2 years (range 10-17 years). American Orthopaedic Foot and Ankle Society scores (AOFAS) were collected at final follow up, along with a rating of the overall satisfaction. Any complications were recorded.

Results

The mean AOFAS score at final follow up was 91.2 (range 54-100). 87% of patients were either satisfied or very satisfied with their final outcome. 1 patient has been listed for revision surgery after symptomatic recurrence at 3 years follow up.

Conclusion

We have presented the results of the largest case series of scarf osteotomies for adolescent hallux valgus reported in the literature at this point, as far as we are aware. AOFAS scores at final follow up are comparable to the smaller studies previously reported and provide evidence that good outcomes and high levels of patient satisfaction can be achieved. Early follow up demonstrates a low level of recurrence, but long term data is still required.