Comparative Analysis of the Results between the Early Period and the Midterm Period of a Single Surgeon’s Experience in the Treatment of Hallux Valgus Using Scarf Osteotomy
10.14193/jkfas.2020.24.4.135
- Author:
Yeong-Hyeon LEE
1
;
Il-Hyun NAM
;
Tae-Hun LEE
;
Gil-Yeong AHN
;
Yong-Sik LEE
;
Sung-Hyun HWANG
;
Kyung-Jin LEE
Author Information
1. Department of Orthopedic Surgery, Pohang St. Mary’s Hospital, Pohang, Korea
- Publication Type:Original Article
- From:Journal of Korean Foot and Ankle Society
2020;24(4):135-141
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:This study evaluated the results of two groups—the early group and midterm group—comparatively in the treatment of hallux valgus using a scarf osteotomy.
Materials and Methods:From January 2005 to December 2009 (Group 1) and from January 2010 to December 2013 (Group 2), this study compared hallux valgus cases treated by a scarf osteotomy by a single surgeon with at least a five-year follow-up.
Results:The average ages of Group 1 and Group 2 were 50.5 and 51.7 years old, respectively. The average follow-up of Groups 1 and 2 were 7.4 and 6.2 years, respectively. Groups 1 and 2 had 86 cases (53 patients) and 93 cases (64 patients) with at least a five-year followup, respectively. The average hallux valgus angle (HVA) and 1-2 intermetatarsal angle (IMA) of Group 1 were improved from 31.3° and 13.9° preoperatively to 11.3° and 6.8° at the final follow-up, respectively (p<0.001). The average HVA and 1-2 IMA of Group 2 were improved from 31.7° and 13.4° preoperatively to 8.9° and 6.6° at the final follow-up, respectively (p<0.001). The mean American Orthopaedic Foot and Ankle Society (AOFAS) score of both groups increased from 48.5 and 45.0 points preoperatively to 73.7 and 82.4 points at the final follow-up, respectively. The numbers of patient-assessed subjective satisfaction of Groups 1 and 2 at the final follow-ups were as follows: excellent, 27 and 36 (31.4%, 38.7%); good, 34 and 49 (39.5%, 52.7%); fair, 13 and 5 (15.1%, 5.4%); poor, 12 and 3 (13.9%, 3.2%);respectively. Neither troughing nor stress fractures occurred in both groups.
Conclusion:Scarf osteotomy for treating hallux valgus is an excellent surgical method with a relatively low incidence of complications.The results in Group 2 were better than those in Group 1, showing that more surgical experience and evolution of the techniques provided better results.
