재발한 무지 외반증의 치료로 시행한 Scarf 절골술

• Published in: 대한족부족관절학회지 Vol. 17; no. 4; pp. 272 - 276
• Main Authors: 남일현, 안길영, 문기혁, 이영현, 최성필, 정택영, Nam, Il Hyun, Ahn, Gil Yeong, Moon, Gi Hyuk, Lee, Yeong Hyeon, Choi, Seong Pil, Jeong, Taeg Young
• Format: Journal Article
• Language: Korean
• Published: 대한족부족관절학회 01.12.2013
• Subjects: 정형외과학; Recurrence; Revision; Axial decompression; Hallux Valgus; Scarf osteotomy
• ISSN: 1738-3757; 2288-8551

Purpose: Recurrence is one of the most common complications after primary correction for hallux valgus deformities. The purpose of this study was to evaluate the usefulness of Scarf osteotomy with axial decompression in the treatment of recurrent hallux valgus. Materials and Methods: From April 2006 to April 2011, 14 cases (12 patients) of recurrent hallux valgus were managed with shortening Scarf osteotomy. Preoperative and postoperative radiographs were reviewed for the measurement of the hallux valgus angle (HVA), intermetatarsal angle (IMA), and the amount of the $1^{st}$ metatarsal shortening. Clinical outcomes including the visual analogue scale (VAS), the AOFAS score, and the range of motion [ROM] of the 1st metatarsophalangeal (MTP) joint were evaluated. Results: The mean HVA decreased from 27.9 degrees to 5.2 and the mean IMA decreased from 12.9 to 3.4. The mean VAS improved from 5.3 to 0.3 and the mean AOFAS score improved from 41 to 90. The mean amount of the 1st metatarsal shortening was 3.4 mm (2-5). The mean ROM of the $1^{st}$ MTP joint improved from 22 degrees (15-35) to 68 (55-75). Conclusion: Scarf osteotomy associated with axial decompression can be a useful revision procedure for the treatment of recurrent hallux valgus deformity.