advertising
-
1.
Cho NH , Kim S & Kwon DJ et al.: The prevalence of hallux valgus and its association with foot pain and function in a rural Korean community. J Bone Joint Surg Br 91: 494, 2009.
-
2.
Coughlin MJ & Jones CP: Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int 28: 759, 2007.
-
3.
Golightly YM , Hannan MT & Dufour AB et al.: Factors associated with hallux valgus in a community-based cross-sectional study of adults with and without osteoarthritis. Arthritis Care Res (Hoboken) 67: 791, 2015.
-
4.
Nery C , Coughlin MJ & Baumfeld D et al.: Hallux valgus in males—part 1: demographics, etiology, and comparative radiology. Foot Ankle Int 34: 629, 2013.
-
5.
Nguyen US , Hillstrom HJ & Li W et al.: Factors associated with hallux valgus in a population-based study of older women and men: the MOBILIZE Boston Study. Osteoarthritis Cartilage 18: 41, 2010.
-
6.
Boksh K , Qasim S & Khan K et al.: A comparative study of mini-scarf versus standard scarf osteotomy for hallux valgus correction. J Foot Ankle Surg 57: 948, 2018.
-
7.
Coetzee JC: Scarf osteotomy for hallux valgus repair: the dark side. Foot Ankle Int 24: 29, 2003.
-
8.
Curtin M , Murphy E & Bryan C et al.: Scarf osteotomy without internal fixation for correction of hallux valgus: a clinical and radiographic review of 148 cases. Foot Ankle Surg 4: 252, 2018.
-
9.
Deenik AR , Pilot P & Barndt SE et al.: Scarf versus chevron osteotomy in hallux valgus: a randomized control trial of 96 patients. Foot Ankle Int 8: 537, 2007.
-
10.
Kushioka J , Hirao M & Tsuboi H et al.: Modified scarf osteotomy with medial capsule interposition for hallux valgus in rheumatoid arthritis: a study of cases including severe first metatarsophalangeal joint destruction. J Bone Joint Surg Am 100: 765, 2018.
-
11.
Lipscombe S , Molloy A & Sirikonda S: Scarf osteotomy for the correction of hallux valgus: midterm clinical outcome. J Foot Ankle Surg 47: 273, 2008.
-
12.
Liszka H & Gadek A: Results of scarf osteotomy without implant fixation in the treatment of hallux valgus. Foot Ankle Int 39: 1320, 2018.
-
13.
Malatray M , Fessy MH & Besse JL: Comparison of screw versus locked plate fixation for scarf osteotomy treatment of hallux valgus. Orthop Traumatol Surg Res 104: 725, 2018.
-
14.
Şahin N , Cansabuncu G & Çevik N et al.: A randomized comparison of the proximal crescentic osteotomy and rotational scarf osteotomy in the treatment of hallux valgus. Acta Orthop Traumatol Turc 52: 261, 2018.
-
15.
Berg RP , Kelder W & Olsthoorn PGM et al.: Scarf and Weil osteotomies for correction of rheumatoid forefoot deformities: a review of 20 cases. Foot Ankle Surg 13: 35, 2007.
-
16.
Garrido IM , Rubio ER & Bosch MN et al.: Scarf and Akin osteotomies for moderate and severe hallux valgus: clinical and radiographic results. Foot Ankle Surg 14: 194, 2008.
-
17.
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 49: 16, 2010.
-
18.
Kilmartin TE & O'Kane C: Combined rotation scarf and Akin osteotomies for hallux valgus: a patient focussed 9 year follow up of 50 patients. J Foot Ankle Res 3: 2, 2010.
-
19.
Lechler P , Feldmann C & Köck FX et al.: Clinical outcome after chevron-Akin double osteotomy versus isolated chevron procedure: a prospective matched group analysis. Arch Orthop Trauma Surg 132: 9, 2012.
-
20.
Malviya A , Makwana N & Laing P: Scarf osteotomy for hallux valgus—is an Akin osteotomy necessary. Foot Ankle Surg 13: 177, 2007.
-
21.
Pinney SJ , Song KR & Chou LB: Surgical treatment of severe hallux valgus: the state of practice among academic foot and ankle surgeons. Foot Ankle Int 27: 1024, 2006.
-
22.
Roukis TS: Hallux proximal phalanx Akin-scarf osteotomy. JAPMA 94: 70, 2004.
-
23.
Roukis TS: Scarf and Weil metatarsal osteotomies of the lateral rays for correction of rheumatoid forefoot deformities: a systematic review. J Foot Ankle Surg 49: 390, 2010.
-
24.
Tollison ME & Baxter DE: Combination chevron plus Akin osteotomy for hallux valgus: should age be a limiting factor? Foot Ankle Int 18: 477, 1997.
-
25.
Akin OF: The treatment of hallux valgus: a new operative procedure and its results. Med Sentinel 33: 678, 1925.
-
26.
Garrow AP , Papageorgiou A & Silman AJ et al.: The grading of hallux valgus. The Manchester Scale. JAPMA 91: 74, 2001.
-
27.
Kitaoka HB , Alexander IJ & Adelaar RS et al.: Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 15: 349, 1994.
-
28.
Weil LS: Scarf osteotomy for correction of hallux valgus. Historical perspective, surgical technique, and results. Foot Ankle Clin 5: 559, 2000.
-
29.
Kromuszczynska J , KoŁodziej L & Jurewicz A: Wound healing complications in patients with and without systemic diseases following hallux valgus surgery. PLoS One 13: 0197981, 2018.
Additional Akin Proximal Phalanx Procedure Has a Limited Effect on the Outcome of Scarf Osteotomy for Hallux Valgus Surgery
Search for other papers by Marcin Milczarek in
Current site
Google Scholar
PubMed
Search for other papers by Krzysztof Nowak in
Current site
Google Scholar
PubMed
Search for other papers by Bartlomiej Tomasik in
Current site
Google Scholar
PubMed
Search for other papers by Julia Milczarek in
Current site
Google Scholar
PubMed
Search for other papers by Przemyslaw Laganowski in
Current site
Google Scholar
PubMed
Search for other papers by Marcin Domzalski in
Current site
Google Scholar
PubMed
Background
One of the most common supplementary techniques for hallux valgus (HV) surgery is proximal phalanx correction proposed by Akin. This study aims to determine the influence of the Akin procedure on the outcome of scarf osteotomy for HV correction.
Methods
This prospective randomized study on 145 patients diagnosed with moderate to severe HV who underwent a scarf corrective osteotomy was carried out between 2011 and 2016. Patients were divided into two groups based on the additional Akin correction of the proximal phalanx. Postoperative follow-up was 2 years. The patients underwent an examination performed by two orthopedic surgeons twice—at the primary visit (qualification for the surgery and the study) and at the final follow-up. In between, the patients remained under the care of one of the physicians. Data collected included biometric records, radiographs (eg, hallux valgus angle [HVA]), intermetatarsal angle, American Orthopaedic Foot & Ankle Society Hallux Metatarsophalangeal Index, and visual analog scale score for pain and satisfaction.
Results
There was a significant difference in comparison of the HVA between the groups at the final follow-up. Other collected parameters were similar (American Orthopaedic Foot & Ankle Society Hallux Metatarsophalangeal Index, level of pain, and satisfaction). The complication rate was also similar between the groups. We observed comparable rates of reconsent to the treatment and foot appearance satisfaction in both groups.
Conclusions
Regardless of additional Akin correction, the outcome was comparable. Despite a significant difference in HVA score, pain and satisfaction level were similar. Based on our results, the Akin procedure may not provide substantial benefit as an adjunct to the scarf procedure.
Department of Orthopaedic and Trauma Surgery, Medical University of Lodz, Lodz, Poland.
Department of Biostatistics and Translational Medicine, Medical University of Lodz, Lodz, Poland.
Department of Psychology, Medical University of Lodz, Lodz, Poland.
advertising
advertising
