Scarf Osteotomy for Correction of Hallux Valgus Deformity

Objective: Presentation of clinical and radiological outcome of a case series of scarf osteotomy. Patients and Methods: The study involved 20 patients with 24 feet affected with symptomatic moderate to severe hallux valgus. Clinical assessment was done using American Orthopedic Foot and Ankle Society (AOFAS) score. Radiological assessment utilized measurement of hallux valgus angle (HVA), intermetatarsal angle (IMA) and the distal metatarsal articulation angle (DMAA). Akin closing-wedge osteotomy was added for 6 feet (25%). Results: Mean age of patients was 35.6±3.5 years; with 16 females and 4 males. All the clinical and radiological scores improved significantly after surgery compared to the baseline scores (p<0.001, for all comparisons). There was no correlation between the clinical score and radiological angles preand postoperatively. Conclusion: Scarf osteotomy of the first metatarsal can be considered to be a safe and reliable solution for the treatment of hallux valgus deformity.