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Scarf osteotomy outcomes

Discussion in 'Foot Surgery' started by NewsBot, Apr 15, 2006.

  1. NewsBot

    NewsBot The Admin that posts the news.


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    Scarf osteotomy for the treatment of forefoot deformity.
    Acta Chir Orthop Traumatol Cech. 2006;73(1):18-22[Article in Czech]
     
  2. NewsBot

    NewsBot The Admin that posts the news.

    Scarf Osteotomy

    Pedographic, Clinical, and Functional Outcome after Scarf Osteotomy.
    Lorei TJ, Kinast C, Klarner H, Rosenbaum D.
    Clin Orthop Relat Res. 2006 Jul 10;
     
  3. W J Liggins

    W J Liggins Well-Known Member

    Scarf osteotomy

    What is the Barouk technique? Is that the one taught to Barouk by Lowell Weil?

    The paper discusses only the displacement method, not the rotational technique in which considerably greater reduction in I.M. angle can be achieved. Good to see a paper on the subject though.

    Bill Liggins
     
  4. Dieter Fellner

    Dieter Fellner Well-Known Member

    Barouk

    Hello Bill

    I do not have first hand knowledge of this but talking to those who know Barouk and Scott Weill I am led to believe those surgeons do not like, nor practice, the rotation scarf. Preferring instead the transposition scarf, correction of a very high angle is possible by overlap technique. The overlap can be very aggressive and at times it seems almost as if the medial cortex has been acquainted with the lateral cortex !

    Initially sceptical, I have been using this same technique for a while now also. The results can be quite impressive but fixation, without access to the recommended cannulated screw system and / or C-arm, is technically more challenging.

    Dieter
     
  5. W J Liggins

    W J Liggins Well-Known Member

    Scarf osteotomy

    Hello Deiter

    When I started to use the transpositional technique I found it all too easy to result in 'troughing'. For this reason I tend to use the rotational technique, although a patient recently suffered a fracture of the met. - I gather that this has happened elsewhere; also, I have seen avascular necrosis reported with the rotational scarf, although I have yet to experience this. For lesser I.M. angles, I find Austin/distal L techniques perfectly adequate, bearing in mind that the I.M. angle will reduce approximately 2 degrees, simply by removing the distal/proximal tension, as in a Keller. In situations of 1st met. instablility I will use a Lapidus with or without a distal technique. 'Horses for Courses' I suppose.

    I remember Barouk and Weil lecturing to the P.A. many years ago. Barouk was very happy to acknowledge that Weil had introduced him to the scarf and both Barouk and Weil disliked the use of their names used for the techniques ascribed to them. Then, both are excellent foot surgeons but I suppose that is the price of fame!

    All the best

    Bill Liggins
     
  6. Dieter Fellner

    Dieter Fellner Well-Known Member

    Troughing

    Bill

    From time to time I find troughing can be a problem especially in the older patient with softer bone. If there are signs of this, and I assess this intra-operatively, before finalising fixation, I will use the rotation osteotomy instead.

    Your are quite right of course. Horses for courses it is. I remain fond of the Reverdin Green and the many modifications. A most versatile procedure, when indicated.

    Increasingly I feel the same about the Scarf osteotomy - incredibly versatile.

    Regards

    Dieter
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Scarf osteotomy for hallux valgus deformity: an intermediate followup of clinical and radiographic outcomes.
    Foot Ankle Int. 2006 Nov;27(11):883-6
    Aminian A, Kelikian A, Moen T
     
  8. Admin2

    Admin2 Administrator Staff Member

  9. NewsBot

    NewsBot The Admin that posts the news.

    Scarf osteotomy in hallux valgus: a review of 72 cases.
    Berg RP, Olsthoorn PG, Poll RG.
    Acta Orthop Belg. 2007 Apr;73(2):219-23.
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Scarf versus chevron osteotomy in hallux valgus: a randomized controlled trial in 96 patients.
    Deenik AR, Pilot P, Brandt SE, van Mameren H, Geesink RG, Draijer WF.
    Foot Ankle Int. 2007 May;28(5):537-41.
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Complications of first ray osteotomies: a consecutive serie of 475 feet with first metatarsal Scarf osteotomy and first phalanx osteotomy.
    Hammel E, Abi Chala ML, Wagner T.
    Service d'Orthopédie Traumatologie, Centre Hospitalier de Pau, 4, boulevard Hauterive, 64046 Pau Université
    Rev Chir Orthop Reparatrice Appar Mot. 2007 Nov;93(7):710-9.
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Restoration and Preservation of First Metatarsal Length Using the Distraction Scarf Osteotomy
    Journal of Foot and Ankle Surgery Volume 47, Issue 2, Pages 96-102 (March 2008)
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Scarf osteotomy for the correction of hallux valgus: midterm clinical outcome.
    Lipscombe S, Molloy A, Sirikonda S, Hennessy MS.
    J Foot Ankle Surg. 2008 Jul-Aug;47(4):273-7
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    The effect of sesamoid position on outcome following scarf osteotomy for hallux abducto valgus
    J.D. Wilson, J. Baines LMS, M.S. Siddique and R. Fleck
    Foot and Ankle Surgery Volume 15, Issue 2, June 2009, Pages 65-68
     
  15. drsarbes

    drsarbes Well-Known Member

    " However, in this, shifting of the distal fragment is limited and the results show that the Austin method should be preferred in deformities with an IMT angle of about 10 degrees. "

    Ridiculous!

    Steve
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Outcome of the scarf osteotomy in adolescent hallux valgus.
    George HL, Casaletto J, Unnikrishnan PN, Shivratri D, James LA, Bass A, Bruce CE.
    J Child Orthop. 2009 May 7. [Epub ahead of print]
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Bosch osteotomy and scarf osteotomy for hallux valgus correction.
    Maffulli N, Longo UG, Oliva F, Denaro V, Coppola C.
    Orthop Clin North Am. 2009 Oct;40(4):515-24, ix-x.
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Prospective comparative study of the scarf and ludloff osteotomies in the treatment of hallux valgus.
    Robinson AH, Bhatia M, Eaton C, Bishop L.
    Foot Ankle Int. 2009 Oct;30(10):955-63.
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Scarf Osteotomy for Hallux Valgus Deformity
    A Prospective Study with 8 Years of Clinical and Radiologic Follow-up
    Jeroen J. K. De Vil, Peter Van Seymortier, Willem Bongaerts, Pieter-Jan De Roo, Barbara Boone, and René Verdonk,
    Journal of the American Podiatric Medical Association Volume 100 Number 1 35-40 2010
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Combined rotation scarf and Akin osteotomies for hallux valgus: a patient focussed 9 year follow up of 50 patients
    Tim E Kilmartin and Claire O'Kane
    Journal of Foot and Ankle Research 2010, 3:2doi:10.1186/1757-1146-3-2
     
    Last edited: Feb 17, 2010
  21. NewsBot

    NewsBot The Admin that posts the news.

    Mid-term results of Scarf osteotomy in hallux valgus.
    Fuhrmann RA, Zollinger-Kies H, Kundert HP.
    Int Orthop. 2010 Feb 16. [Epub ahead of print]
     
  22. NewsBot

    NewsBot The Admin that posts the news.

    The Scarf Osteotomy: A Salvage Procedure for Recurrent Hallux Valgus in Selected Cases
    Peter Bock, Ulrich Lanz, Andreas Kröner, Georg Grabmeier and Alfred Engel
    Clinical Orthopaedics and Related Research
     
  23. NewsBot

    NewsBot The Admin that posts the news.

    Outcomes after Scarf Osteotomy for Treatment of Adult Hallux Valgus Deformity.
    Adam SP, Choung SC, Gu Y, O'Malley MJ.
    Clin Orthop Relat Res. 2010 Aug 13. [Epub ahead of print]
     
  24. NewsBot

    NewsBot The Admin that posts the news.

    Scarf and Weil metatarsal osteotomies of the lateral rays for correction of rheumatoid forefoot deformities: a systematic review.
    Roukis TS.
    J Foot Ankle Surg. 2010 Jul-Aug;49(4):390-4.
     
  25. blinda

    blinda MVP

  26. NewsBot

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    Inverted Z-scarf Osteotomy for Hallux Valgus Deformity Correction: Intermediate-term Results in 55 Patients.
    Miller JM, Ferdowsian VN, Collman DR.
    J Foot Ankle Surg. 2011 Jan-Feb;50(1):55-61.
     
  27. NewsBot

    NewsBot The Admin that posts the news.

    Evaluation of scarf osteotomy for management of hallux valgus deformity.
    Aly TA, Mousa W, Elsallakh S.
    Orthopedics. 2011 Jan 1;34(2). doi: 10.3928/01477447-20101221-08.
     
  28. NewsBot

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    Interpretation of the scarf osteotomy by 10 surgeons
    Mark B. Davies, Chris M. Blundell, Christopher P. Marquis and Avril D. McCarthy
    Foot and Ankle Surgery Volume 17, Issue 3, September 2011, Pages 108-112
     
  29. Drsilver

    Drsilver Welcome New Poster

    Although this thread is old, I thought I'd add my comments.

    I'm a big fan of the scarf. I feel it allows me to get significant IM reduction greater than a distal osteotomy and allow a much easier recovery than a base wedge, opening or closing. I do the rotational scarf rather than the transpositional as I too experienced troughing in the past. I have had success with both cannulated and noncsnnulated screws. the medial incision allows for excellent visualization of the screw position. Often I combine scarfs with Akins.

    I have had great success with scarf procedures for large bunions that would not have faired well with distal osteotomies.

    Lawrence Silverberg, DPM
    New York, NY
    Blog: www.bestpodiatristnyc.com
     
  30. NewsBot

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    Scarf osteotomy versus metatarsophalangeal arthrodesis in forefoot first ray disorders: Comparison of functional outcomes.
    Desmarchelier R, Besse JL, Fessy MH; The French Association of Foot Surgery (AFCP).
    Orthop Traumatol Surg Res. 2012 Aug 27.
     
  31. NewsBot

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    SCARF OSTEOTOMY IN THE MANAGEMENT OF SYMPTOMATIC ADOLESCENT HALLUX VALGUS
    N.G. Farrar, N. Duncan, N. Ahmed, G. Geary, and R.A. Rajan
    J Bone Joint Surg Br 2012 94-B:(SUPP XLIII) 10.
     
  32. NewsBot

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    ARE ROUTINE X-RAYS 6 WEEKS POST SCARF OSTEOTOMY FOR HALLUX VALGUS NECESSARY
    M. Dafydd, N. Green and S. Kadambande
    J Bone Joint Surg Br 2012 vol. 94-B no. SUPP XLIII 9
     
  33. NewsBot

    NewsBot The Admin that posts the news.

    Scarf osteotomy without internal fixation to correct hallux valgus
    T. Leemrijse, M. Maestro, K. Tribak, V. Gombault, B. Devos Bevernage, P.-A. Deleu
    Orthopaedics & Traumatology: Surgery & Research; 8 November 2012
     
  34. NewsBot

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  35. NewsBot

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    Short Scarf Osteotomy for Moderate Hallux Valgus.
    Kwon SY, Gil HJ, Chung JW.
    J Korean Foot Ankle Soc. 2012 Dec;16(4):235-240.
     
  36. NewsBot

    NewsBot The Admin that posts the news.

    Effect of Scarf Osteotomy on the First Cuneometatarsal Joint
    Jean M. Brilhault, MD, Tours, France
    Vincent Noël, MD, Tours, France
    AAOS Annual Conference 2013
     
  37. NewsBot

    NewsBot The Admin that posts the news.

    Prospective study of the treatment of adult primary hallux valgus with scarf osteotomy and soft tissue realignment.
    Choi JH, Zide JR, Coleman SC, Brodsky JW.
    Foot Ankle Int. 2013 May;34(5):684-90.
     
  38. NewsBot

    NewsBot The Admin that posts the news.

    Short-term Clinical and Radiologic Results of the Scarf Osteotomy: What Factors Contribute to Recurrence?
    Alper Deveci, MD, Ahmet Firat, MD, Serdar Yilmaz, MD, Ozdamar Fuad Oken, MD, Ahmet Ozgur Yildirim, MD, Ahmet Ucaner, MD, Murat Bozkurt, MD
    Journal of Foot and Ankle Surgery; Article in Press
     
  39. NewsBot

    NewsBot The Admin that posts the news.

    Scarf osteotomy in the management of symptomatic adolescent hallux valgus.
    Farrar NG, Duncan N, Ahmed N, Rajan RA.
    J Child Orthop. 2012 Jun;6(2):153-7.
     
  40. NewsBot

    NewsBot The Admin that posts the news.

    Lengthening Scarf Osteotomy for Recurrent Hallux Valgus
    Barry Rose, Nicholas Bowman, Huw Edwards, Samuel S. Rajaratnam, Andrew R. Armitage, Andrew D. Skyrme
    Foot and Ankle Surgery; Available online 1 September 2013
     
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