Abstract | INTRODUCTION: The aim of this study was to analyze clinical and radiological results of scarf osteotomy for the correction of an increased intermetatarsal IV/V angle in patients with symptomatic tailors bunion. PATIENTS AND METHODS: Between 1997 and 1998, we performed a scarf osteotomy for the correction of an increased intermetatarsal IV/V angle (IMA) in ten cases. The indication was a painful prominence of the fifth metatatarsal with an increased IMA. Fixation of the osteotomy was performed with two 1.7-mm titanium miniscrews. Mobilization was allowed with full weight-bearing, with a forefoot relief orthosis. Clinical results were evaluated with the forefoot scoring system (ffss). The determination of the IMA was performed with weight-bearing dorsoplantar radiographs. RESULTS: All osteotomies healed within the first 6 postoperative weeks. Removal of the screws was not necessary in any case. The mean preoperative ffss was 29.5 points. At the last follow-up, the mean value of the ffss was 73 points and no patient presented a painful prominence above the fifth metatarsal head. The mean IMA was reduced significantly from 10.3 to 6.8 degrees. DISCUSSION:
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Authors | H W Seide, W Petersen |
Journal | Archives of orthopaedic and trauma surgery
(Arch Orthop Trauma Surg)
Vol. 121
Issue 3
Pg. 166-9
( 2001)
ISSN: 0936-8051 [Print] Germany |
PMID | 11262784
(Publication Type: Clinical Trial, Journal Article)
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Topics |
- Adult
- Aged
- Bone Screws
- Female
- Follow-Up Studies
- Hallux Valgus
(diagnostic imaging, rehabilitation, surgery)
- Humans
- Male
- Metatarsal Bones
(diagnostic imaging, surgery)
- Middle Aged
- Osteotomy
(instrumentation, methods)
- Pain Measurement
- Probability
- Radiography
- Range of Motion, Articular
(physiology)
- Severity of Illness Index
- Treatment Outcome
- Weight-Bearing
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