How Do I Use the Scarf Osteotomy to Rotate the Metatarsal and Correct the Deformity in Three Dimensions?

Eric Swanton; Lyndon Mason; Andy Molloy

doi:10.1016/j.fcl.2018.01.008

How Do I Use the Scarf Osteotomy to Rotate the Metatarsal and Correct the Deformity in Three Dimensions?

Foot Ankle Clin. 2018 Jun;23(2):239-246. doi: 10.1016/j.fcl.2018.01.008.

Authors

Eric Swanton¹, Lyndon Mason², Andy Molloy³

Affiliations

¹ Consultant Orthopaedic Surgeon, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, Merseyside, UK.
² Consultant Orthopaedic Surgeon, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, Merseyside, UK; Honorary Clinical Senior Lecturer, Department of Musculoskeletal Biology, University of Liverpool, 6 West Derby Street, Liverpool L7 8TX, UK.
³ Consultant Orthopaedic Surgeon, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, Merseyside, UK; Honorary Clinical Senior Lecturer, Department of Musculoskeletal Biology, University of Liverpool, 6 West Derby Street, Liverpool L7 8TX, UK. Electronic address: andymolloy3@gmail.com.

PMID: 29729798
DOI: 10.1016/j.fcl.2018.01.008

Abstract

The scarf osteotomy has become the workhorse procedure for a large proportion of foot and ankle surgeons, especially in Europe, in the treatment of hallux valgus. Such a versatile procedure should not be underestimated, and planning and thought should precede any such procedure. The angle of bone cuts and magnitude of translation dictate the final position, and all movement axes should be given equal attention.

Keywords: Hallux valgus; Rotational osteotomy; Three-dimensional correction.

Publication types

Review

MeSH terms

Hallux Valgus / surgery*
Humans
Metatarsal Bones / surgery*
Osteotomy / methods*
Rotation