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SCARF-Osteotomie

SCARF osteotomy

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Zusammenfassung

Die Hallux-valgus-Fehlstellung ist eine der häufigsten Deformitäten an der unteren Extremität. Die Ursache ist vielfältig, und es wurden unzählige Behandlungsmethoden in der Vergangenheit vorgestellt. Die SCARF-Osteotomie ist bei mäßiger und mittelschwerer Hallux-valgus-Deformität indiziert. Bei dieser Methode handelt es sich historisch um eine Technik aus der Zimmerei, die biomechanisch unmittelbar postoperativ belastungsstabil ist. Durch die Möglichkeit der Rotation kann auch ein erhöhter distaler Metatarsale-I-Gelenkwinkel (DMAA) gut korrigiert. Darüber hinaus hat sich die SCARF als erfolgreicher Eingriff bei Revisionen etabliert.

Abstract

Hallux valgus is one of the most common deformities of the lower extremity. Multiple etiologies have been discussed, and various techniques have been described. The SCARF osteotomy is indicated for moderate to severe hallux valgus deformities. The technique historically used by carpenters allows immediate postoperative weight bearing and also entails the possibility to correct the distal metatarsal articular angle by rotation of the osteotomy. The SCARF osteotomy has also been successfully used in revision surgeries.

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Authors and Affiliations

  1. Fusszentrum Wien, Alserstraße 43/8d, 1080, Wien, Österreich

    H.‑J. Trnka & P. Bock

Authors
  1. H.‑J. Trnka
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  2. P. Bock
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Correspondence to H.‑J. Trnka.

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Interessenkonflikt

H.-J. Trnka und P. Bock geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Trnka, H., Bock, P. SCARF-Osteotomie. Orthopäde 46, 408–413 (2017). https://doi.org/10.1007/s00132-017-3423-5

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  • DOI: https://doi.org/10.1007/s00132-017-3423-5

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