Research Article
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Year 2018, Volume: 4 Issue: 1, 6 - 15, 04.01.2018
https://doi.org/10.18621/eurj.302186

Abstract

References

  • [1] Perera AM, Mason L, Stephens MM. The pathogenesis of hallux valgus. J Bone Joint Surg Am 2011;93:1650-61.
  • [2] Einarsdottir H, Troell S, Wykman A. Hallux valgus in ballet dancers: amyth? Foot Ankle Int 1995;16:92-4.
  • [3] Wilson DW. Hallux valgus and rigidus. In; Helal HB, Wilson DW, eds., The Foot, London: Churchill Livingstone, 1988, pp. 411-83.
  • [4] Piggott H. The natural history of hallux valgus in adolescence and early adult life. J Bone Joint Surg Br 1960;42B:749-60.
  • [5] Saro C, Andren B, Wildemyr Z, Fellander-Tsai L. Outcome after distal metatarsal osteotomy for hallux valgus: a prospective randomized controlled trial of two methods. Foot Ankle Int 2007;28:778-87.
  • [6] Coughlin M, Saltzman C, Anderson RB. Mann's Surgery of the Foot and Ankle. 9th ed., Philadelphia: Mosby Elsevier, 2013.
  • [7] Mann RA, Coughlin MJ. Hallux valgus -- etiology, anatomy, treatment and surgical considerations. Clin Orthop Relat Res 1981;157:31-41.
  • [8] Mann RA, Pfeffinger L. Hallux valgus repair. DuVries modified McBride procedure. Clin Orthop Relat Res 1991;272:213-8.
  • [9] Torkki M, Malmivaara A, Seitsalo S, Hoikka V, Laippala P, Paavolainen P. Surgery vs orthosis vs watchful waiting for hallux valgus: a randomized controlled trial. JAMA 2001;285:2472-80.
  • [10] Meyer MJ, Hoffmeyer P, Borst F. The treatment of hallux valgus in runners using a modified McBride procedure. Int Orthop 1987;11:197-200.
  • [11] Johnson KA, Cofield RH, Morrey BF. Chevron osteotomy for hallux valgus. Clin Orthop 1979;142:44-8.
  • [12] Schneider W. Distal soft tissue procedure in hallux valgus surgery: biomechanical background and technique. Int Orthop 2013;37:1669-75.
  • [13] Mau C, Lauber HT. Die operative behandlung des hallux valgus (Nachuntersuchungen). Dtsch Z Chir 1926;197:361-77. [Article in German]
  • [14] Meyer M. Eine neue modifikation der hallux valgus operation. Zent Fur Chir 1926;53:3265-8. [Article in German]
  • [15] Corless J. A modification of the Mitchell procedure. J Bone Joint Surg 1976;58B:138.
  • [16] Hawkins FB, Mitchell CL, Hedrick DW. Correction of hallux valgus by metatarsal osteotomy. J Bone Joint Surg 1945;27:387-94.
  • [17] Wilson JN. Oblique displacement osteotomy for hallux valgus. J Bone Joint Surg Br 1963;45:552-6.
  • [18] Glover JP, Hyer CF, Berlet GC, Lee TH. Early results of the Mau Osteotomy for correction of moderate to severe hallux valgus: a review of 24 cases. J Foot Ankle Surg 2008;47;237-42.
  • [19] Kinnard P, Gordon D. A comparison between Chevron and Mitchell osteotomies for hallux valgus. Foot Ankle 1984;4:241-3.
  • [20] Klosok JK, Pring DJ, Jessop JH, Maffulli N. Chevron or Wilson metatarsal osteotomy for hallux valgus. A Prospective randomised trial. J Bone Joint Surg Br 1993;75:825-9.
  • [21] Kummer FJ, Jahss MH. Mathematical analysis of osteotomies. In; Jahss MH, ed., Disorder of the Foot and Ankle: Medical and Surgical Management. Philadelphia: WB Saunders, 1991, p 541.
  • [22] Bonney G, Macnab I. Hallux valgus and hallux rigidus; a critical survey of operative results. J Bone Joint Surg Br 1952;34:366-85.
  • [23] Resch S, Stenström A, Egund N. Proximal closing wedge osteotomy and adductor tenotomy for treatment of hallux valgus. Foot Ankle 1989;9:272-80.
  • [24] Sammarco GJ, Braniard BJ, Sammarco VJ. Bunion correction using proximal Chevron osteotomy. Foot Ankle 1993;14:8-14.
  • [25] Robinson AH, Limbers JP. Modern concepts in the treatment of hallux valgus. J Bone Joint Surg Br 2005;87:1038-45.
  • [26] Nyska M, Trnks HJ, Parks BG, Myerson MS. Proximal metatarsal osteotomies: a comparative geometric analysis conducted on sawbone models. Foot Ankle Int 2002;23:938-45.
  • [27] Zembsch A, Trnka HJ, Ritschl P. Correction of hallux valgus. Metatarsal osteotomy versus excision arthroplasty. Clin Orthop 2000;376:183-94.
  • [28] Baumhauer JF, Nawoczenski DA, DiGiovanni BF, Wilding GE. Reliability and validity of the American Orthopaedic Foot and Ankle Society Clinical Rating Scale: a pilot study for the hallux and lesser toes. Foot Ankle Int 2006;27:1014-9.
  • [29] Chen JY, Ang BF, Jiang L, Yeo NE, Koo K, Singh Rikhraj I. Pain resolution after hallux valgus surgery. Foot Ankle Int 2016;37:1071-5.
  • [30] Haapaniemi TM, Manninen MJ, Arajarvi EJ. Proksimal osteotomy in hallux valgus, long-term results of 167 operated feet. A retrospective study. Arch Orthop Trauma Surg 1997;116:376-8.
  • [31] Hyer CF, Glover JP, Berlet GC, Philbin TM, Lee TH. A comparison of the crescentic and Mau osteotomies for correction of hallux valgus. J Foot Ankle Surg 2008;47:103-11.
  • [32] Laporta DM, Melillo TV, Hetherington VJ. Preoperative assessment in hallux valgus. In: Hetherington VJ, ed., Textbook of Hallux Valgus & Forefoot Surgery. Chapter 6, Ohio: Kent State University, 2000, pp.107-23.
  • [33] Coetzee JC, Rippstein P. Surgical strategies: Scarf osteotomy for hallux valgus. Foot Ankle Int 2007;28:529-35.
  • [34] Easley ME, Darwish HH, Schreyack DW, DeOrio JK, Trnka H-J. Hallux valgus: proximal first metatarsal osteotomies. In: Saxena A, ed., International Advances in Foot and Ankle Surgery. London: Springer-Verlag, 2012, pp. 11-25.
  • [35] Fuhrmann RA, Zollinger-Kies H, Kundert H-P. Mid-term results of Scarf osteotomy in hallux valgus. Int Orthop 2010;34:981-9.
  • [36] Barouk LS. Scarf osteotomy for hallux valgus correction: local anatomy, surgical technique, and combination with other forefoot procedures. Foot Ankle Clin 2000;5:525-58.
  • [37] Saragas NP. Technique tip: preventing ‘‘troughing’’ with the Scarf osteotomy. Foot Ankle Int 2005;26:779-80.
  • [38] Bock P, Lanz U, Kröner A, Grabmeier G, Engel A. The Scarf osteotomy: a salvage procedure for recurrent hallux valgus in selected cases. Clin Orthop Relat Res 2010;468:2177-87.
  • [39] Adam SP, Choung SC, Gu Y, O’Malley MJ. Outcomes after Scarf osteotomy for treatment of adult hallux valgus deformity. Clin Orthop Relat Res 2011;469:854-9.
  • [40] Kerr HL, Jackson R, Kothari P. Scarf-Akin osteotomy correction for hallux valgus: short-term results from a district general hospital. J Foot Ankle Surg 2010;49:16-9.
  • [41] Carr CR, Boyd BM. Correctional osteotomy of metatarsus primus varus and hallux valgus. J Bone Joint Surg Am 1968;50:1353-67.
  • [42] Patron GW, Zelichowski JE. Middiaphyseal osteotomies. In: Hetherington VJ, ed., Textbook of Hallux Valgus & Forefoot Surgery. Chapter 16, Ohio: Kent State University, 2000.
  • [43] Easley ME, Trnka HJ. Current concepts review: hallux valgus part II: operative treatment. Foot Ankle Int 2007;28:748-58.
  • [44] Newman AS, Negrine JP, Zecovic M, Stanford P, Walsh WR. A biomechanical comparison of the Z step-cut and basilar crescentic osteotomies of the first metatarsal. Foot Ankle Int 2000;21:584-7.
  • [45] Acevedo JI, Sammarco VJ, Boucher HR, Parks BG, Schon LC, Myerson MS. Mechanical comparison of cyclic loading in five different first metatarsal shaft osteotomies. Foot Ankle Int 2002;23:711-6.
  • [46] Trnka HJ, Parks BG, Ivanic G, Chu IT, Easley ME, Schon LC, et al. Six first metatarsal shaft osteotomies: mechanical and immobilization comparisons. Clin Orthop Relat Res 2000;381:256-65.
  • [47] Ünal AM, Baran Ö, Uzun B, Turan AC. [Comparison of screwfixation stabilities of first metatarsal shaft osteotomies: a biomechanical study. Acta Orthop Traumatol Turc 2010;44:70-5. [Article in Turkish]
  • [48] Bar-David T, Greenberg PM. Retrospective analysis of the Mau osteotomy and effect of a fibular sesamoidectomy. J Foot Ankle Surg 1998;373:212-6.
  • [49] Neese DJ, Zelichowski JE, Patton GW. Mau osteotomy: an alternative procedure to the closing abductory base wedge osteotomy. J Foot Surg 1989;28:352-62.
  • [50] Gupta S, Fazal MA, Williams L. Minifragment screw fixation of the Scarf osteotomy. Foot Ankle Int 2008;29:385-9.
  • [51] Lipscombe S, Molloy A, Sirikonda S, Hennessy MS. Scarf osteotomy for the correction of hallux valgus: midterm clinical outcome. J Foot Ankle Surg 2008;47:273-7.
  • [52] Jahs MH, Troy AI, Kummer F. Roentgenographic and mathematical analysis of first metatarsal osteotomies for metatarsus primus varus: a comparative study. Foot Ankle 1985;5:280-321.
  • [53] Smith AM, Alwan T, Davies MS. Perioperative complications of the Scarf osteotomy. Foot Ankle Int 2003;24:222-7.

Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study

Year 2018, Volume: 4 Issue: 1, 6 - 15, 04.01.2018
https://doi.org/10.18621/eurj.302186

Abstract

Objective. The aim of this study
was to compare the clinical and radiological results of Mau osteotomy and Scarf
osteotomy with a modified McBride procedure to patients with moderate to severe
hallux valgus deformity. Methods. The study included 40 feet
which patients were separated into 2 groups followed up for 5 months. Scarf
osteotomy was applied to 20 patients including 16 females and 4 males (Scarf
group)) and a Mau osteotomy to 20 patients including 17 females and 3 males
(Mau group). Radiological measurements were taken preoperative, postoperative
and at the final follow-up examination of the hallux valgus angle (HVA),
intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA),
metatarsocuneiform angle (MCA), the 1st metatarsophalangeal joint
congruity, 1st metatarsal length, fibular sesamoid subluxation rate.
Clinical evaluation was made according to the American Orthopaedic Foot and
Ankle Society (AOFAS) and the severity of pain was assessed with the visual
analog scale (VAS). Results. There was n
o difference between the groups in term of the
mean HVA, IMA, MCA and DMAA values in preoperative and postoperative
measurements. A significant improvement was determined in all the angle values
in Scarf and Mau group (p < 0.001).
A significant increase in DMAA and shortening in the metatarsal length were
determined in Mau group compared to Scarf group (p < 0.001). An improvement in joint congruity was seen in the goups
(p < 0.001). There was a significant
improvement in term of the AOFAS and VAS values in the groups (p < 0.001). Conclusion.
Scarf and Mau osteotomies
can provide the desired level of improvement in the short-term follow-up
results of moderate to severe hallux valgus deformity, taking into
consideration the clinical importance that complications are not formed. 

References

  • [1] Perera AM, Mason L, Stephens MM. The pathogenesis of hallux valgus. J Bone Joint Surg Am 2011;93:1650-61.
  • [2] Einarsdottir H, Troell S, Wykman A. Hallux valgus in ballet dancers: amyth? Foot Ankle Int 1995;16:92-4.
  • [3] Wilson DW. Hallux valgus and rigidus. In; Helal HB, Wilson DW, eds., The Foot, London: Churchill Livingstone, 1988, pp. 411-83.
  • [4] Piggott H. The natural history of hallux valgus in adolescence and early adult life. J Bone Joint Surg Br 1960;42B:749-60.
  • [5] Saro C, Andren B, Wildemyr Z, Fellander-Tsai L. Outcome after distal metatarsal osteotomy for hallux valgus: a prospective randomized controlled trial of two methods. Foot Ankle Int 2007;28:778-87.
  • [6] Coughlin M, Saltzman C, Anderson RB. Mann's Surgery of the Foot and Ankle. 9th ed., Philadelphia: Mosby Elsevier, 2013.
  • [7] Mann RA, Coughlin MJ. Hallux valgus -- etiology, anatomy, treatment and surgical considerations. Clin Orthop Relat Res 1981;157:31-41.
  • [8] Mann RA, Pfeffinger L. Hallux valgus repair. DuVries modified McBride procedure. Clin Orthop Relat Res 1991;272:213-8.
  • [9] Torkki M, Malmivaara A, Seitsalo S, Hoikka V, Laippala P, Paavolainen P. Surgery vs orthosis vs watchful waiting for hallux valgus: a randomized controlled trial. JAMA 2001;285:2472-80.
  • [10] Meyer MJ, Hoffmeyer P, Borst F. The treatment of hallux valgus in runners using a modified McBride procedure. Int Orthop 1987;11:197-200.
  • [11] Johnson KA, Cofield RH, Morrey BF. Chevron osteotomy for hallux valgus. Clin Orthop 1979;142:44-8.
  • [12] Schneider W. Distal soft tissue procedure in hallux valgus surgery: biomechanical background and technique. Int Orthop 2013;37:1669-75.
  • [13] Mau C, Lauber HT. Die operative behandlung des hallux valgus (Nachuntersuchungen). Dtsch Z Chir 1926;197:361-77. [Article in German]
  • [14] Meyer M. Eine neue modifikation der hallux valgus operation. Zent Fur Chir 1926;53:3265-8. [Article in German]
  • [15] Corless J. A modification of the Mitchell procedure. J Bone Joint Surg 1976;58B:138.
  • [16] Hawkins FB, Mitchell CL, Hedrick DW. Correction of hallux valgus by metatarsal osteotomy. J Bone Joint Surg 1945;27:387-94.
  • [17] Wilson JN. Oblique displacement osteotomy for hallux valgus. J Bone Joint Surg Br 1963;45:552-6.
  • [18] Glover JP, Hyer CF, Berlet GC, Lee TH. Early results of the Mau Osteotomy for correction of moderate to severe hallux valgus: a review of 24 cases. J Foot Ankle Surg 2008;47;237-42.
  • [19] Kinnard P, Gordon D. A comparison between Chevron and Mitchell osteotomies for hallux valgus. Foot Ankle 1984;4:241-3.
  • [20] Klosok JK, Pring DJ, Jessop JH, Maffulli N. Chevron or Wilson metatarsal osteotomy for hallux valgus. A Prospective randomised trial. J Bone Joint Surg Br 1993;75:825-9.
  • [21] Kummer FJ, Jahss MH. Mathematical analysis of osteotomies. In; Jahss MH, ed., Disorder of the Foot and Ankle: Medical and Surgical Management. Philadelphia: WB Saunders, 1991, p 541.
  • [22] Bonney G, Macnab I. Hallux valgus and hallux rigidus; a critical survey of operative results. J Bone Joint Surg Br 1952;34:366-85.
  • [23] Resch S, Stenström A, Egund N. Proximal closing wedge osteotomy and adductor tenotomy for treatment of hallux valgus. Foot Ankle 1989;9:272-80.
  • [24] Sammarco GJ, Braniard BJ, Sammarco VJ. Bunion correction using proximal Chevron osteotomy. Foot Ankle 1993;14:8-14.
  • [25] Robinson AH, Limbers JP. Modern concepts in the treatment of hallux valgus. J Bone Joint Surg Br 2005;87:1038-45.
  • [26] Nyska M, Trnks HJ, Parks BG, Myerson MS. Proximal metatarsal osteotomies: a comparative geometric analysis conducted on sawbone models. Foot Ankle Int 2002;23:938-45.
  • [27] Zembsch A, Trnka HJ, Ritschl P. Correction of hallux valgus. Metatarsal osteotomy versus excision arthroplasty. Clin Orthop 2000;376:183-94.
  • [28] Baumhauer JF, Nawoczenski DA, DiGiovanni BF, Wilding GE. Reliability and validity of the American Orthopaedic Foot and Ankle Society Clinical Rating Scale: a pilot study for the hallux and lesser toes. Foot Ankle Int 2006;27:1014-9.
  • [29] Chen JY, Ang BF, Jiang L, Yeo NE, Koo K, Singh Rikhraj I. Pain resolution after hallux valgus surgery. Foot Ankle Int 2016;37:1071-5.
  • [30] Haapaniemi TM, Manninen MJ, Arajarvi EJ. Proksimal osteotomy in hallux valgus, long-term results of 167 operated feet. A retrospective study. Arch Orthop Trauma Surg 1997;116:376-8.
  • [31] Hyer CF, Glover JP, Berlet GC, Philbin TM, Lee TH. A comparison of the crescentic and Mau osteotomies for correction of hallux valgus. J Foot Ankle Surg 2008;47:103-11.
  • [32] Laporta DM, Melillo TV, Hetherington VJ. Preoperative assessment in hallux valgus. In: Hetherington VJ, ed., Textbook of Hallux Valgus & Forefoot Surgery. Chapter 6, Ohio: Kent State University, 2000, pp.107-23.
  • [33] Coetzee JC, Rippstein P. Surgical strategies: Scarf osteotomy for hallux valgus. Foot Ankle Int 2007;28:529-35.
  • [34] Easley ME, Darwish HH, Schreyack DW, DeOrio JK, Trnka H-J. Hallux valgus: proximal first metatarsal osteotomies. In: Saxena A, ed., International Advances in Foot and Ankle Surgery. London: Springer-Verlag, 2012, pp. 11-25.
  • [35] Fuhrmann RA, Zollinger-Kies H, Kundert H-P. Mid-term results of Scarf osteotomy in hallux valgus. Int Orthop 2010;34:981-9.
  • [36] Barouk LS. Scarf osteotomy for hallux valgus correction: local anatomy, surgical technique, and combination with other forefoot procedures. Foot Ankle Clin 2000;5:525-58.
  • [37] Saragas NP. Technique tip: preventing ‘‘troughing’’ with the Scarf osteotomy. Foot Ankle Int 2005;26:779-80.
  • [38] Bock P, Lanz U, Kröner A, Grabmeier G, Engel A. The Scarf osteotomy: a salvage procedure for recurrent hallux valgus in selected cases. Clin Orthop Relat Res 2010;468:2177-87.
  • [39] Adam SP, Choung SC, Gu Y, O’Malley MJ. Outcomes after Scarf osteotomy for treatment of adult hallux valgus deformity. Clin Orthop Relat Res 2011;469:854-9.
  • [40] Kerr HL, Jackson R, Kothari P. Scarf-Akin osteotomy correction for hallux valgus: short-term results from a district general hospital. J Foot Ankle Surg 2010;49:16-9.
  • [41] Carr CR, Boyd BM. Correctional osteotomy of metatarsus primus varus and hallux valgus. J Bone Joint Surg Am 1968;50:1353-67.
  • [42] Patron GW, Zelichowski JE. Middiaphyseal osteotomies. In: Hetherington VJ, ed., Textbook of Hallux Valgus & Forefoot Surgery. Chapter 16, Ohio: Kent State University, 2000.
  • [43] Easley ME, Trnka HJ. Current concepts review: hallux valgus part II: operative treatment. Foot Ankle Int 2007;28:748-58.
  • [44] Newman AS, Negrine JP, Zecovic M, Stanford P, Walsh WR. A biomechanical comparison of the Z step-cut and basilar crescentic osteotomies of the first metatarsal. Foot Ankle Int 2000;21:584-7.
  • [45] Acevedo JI, Sammarco VJ, Boucher HR, Parks BG, Schon LC, Myerson MS. Mechanical comparison of cyclic loading in five different first metatarsal shaft osteotomies. Foot Ankle Int 2002;23:711-6.
  • [46] Trnka HJ, Parks BG, Ivanic G, Chu IT, Easley ME, Schon LC, et al. Six first metatarsal shaft osteotomies: mechanical and immobilization comparisons. Clin Orthop Relat Res 2000;381:256-65.
  • [47] Ünal AM, Baran Ö, Uzun B, Turan AC. [Comparison of screwfixation stabilities of first metatarsal shaft osteotomies: a biomechanical study. Acta Orthop Traumatol Turc 2010;44:70-5. [Article in Turkish]
  • [48] Bar-David T, Greenberg PM. Retrospective analysis of the Mau osteotomy and effect of a fibular sesamoidectomy. J Foot Ankle Surg 1998;373:212-6.
  • [49] Neese DJ, Zelichowski JE, Patton GW. Mau osteotomy: an alternative procedure to the closing abductory base wedge osteotomy. J Foot Surg 1989;28:352-62.
  • [50] Gupta S, Fazal MA, Williams L. Minifragment screw fixation of the Scarf osteotomy. Foot Ankle Int 2008;29:385-9.
  • [51] Lipscombe S, Molloy A, Sirikonda S, Hennessy MS. Scarf osteotomy for the correction of hallux valgus: midterm clinical outcome. J Foot Ankle Surg 2008;47:273-7.
  • [52] Jahs MH, Troy AI, Kummer F. Roentgenographic and mathematical analysis of first metatarsal osteotomies for metatarsus primus varus: a comparative study. Foot Ankle 1985;5:280-321.
  • [53] Smith AM, Alwan T, Davies MS. Perioperative complications of the Scarf osteotomy. Foot Ankle Int 2003;24:222-7.
There are 53 citations in total.

Details

Subjects Health Care Administration
Journal Section Original Articles
Authors

Bülent Avcu This is me

Yavuz Akalın

Nazan Çevik

Alpaslan Öztürk

Namık Şahin

Savaş Öztaş This is me

Yüksel Özkan

Publication Date January 4, 2018
Submission Date March 29, 2017
Acceptance Date August 21, 2017
Published in Issue Year 2018 Volume: 4 Issue: 1

Cite

AMA Avcu B, Akalın Y, Çevik N, Öztürk A, Şahin N, Öztaş S, Özkan Y. Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study. Eur Res J. January 2018;4(1):6-15. doi:10.18621/eurj.302186

e-ISSN: 2149-3189 


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