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Scarf versus proximal closing wedge osteotomy in hallux valgus treatment

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Aim

The aim of this study was to evaluate the distal metatarsal articular angle as a key factor in choosing between the proximal closing wedge osteotomy and scarf osteotomy.

Method

The investigation involved 40 feet: 32 females aged 13–68 in whom 24 unilateral and 8 bilateral operations had been performed from 24 to 63 months previously.

Results

There were statistically significant differences between groups in the postoperative hallux valgus angle and in first metatarsal shortening. We found an inverse correlation between the preoperative distal metatarsal articular angle and intermetatarsal angle improvement after proximal closing wedge osteotomy and a positive correlation after scarf osteotomy.

Conclusion

This study confirmed the value of distal metatarsal articular angle assessment.

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Authors and Affiliations

  1. Department of Orthopaedics for Adults and Children, Provincial Children’s Hospital, Konstytucji 3 Maja 42, 87-100, Toruń, Poland

    Łukasz Paczesny & Ryszard Adamski

  2. Department of Orthopaedics and Traumatology, College of Medicine, Nicolaus Copernicus University in Toruń, Skłodowskiej-Curie 9, 85-094, Bydgoszcz, Poland

    Jacek Kruczyński

Authors
  1. Łukasz Paczesny
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  2. Jacek Kruczyński
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  3. Ryszard Adamski
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Correspondence to Łukasz Paczesny.

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Paczesny, Ł., Kruczyński, J. & Adamski, R. Scarf versus proximal closing wedge osteotomy in hallux valgus treatment. Arch Orthop Trauma Surg 129, 1347–1352 (2009). https://doi.org/10.1007/s00402-008-0741-4

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  • DOI: https://doi.org/10.1007/s00402-008-0741-4

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