Abstract
Hallux valgus is a very common diagnosis indicated for surgical treatment. We prefer joint saving surgery in our clinic, represented by metatarsal osteotomy.
We use wedge osteotomy of the first metatarsal bone base or Austin osteotomy. Currently, after some beginning period, the most popular is scarf osteotomy.
We follow up 95 surgeries in 75 patients over 2 years. Average correction of valgus deformity (HVA) is over 27 degrees; correction of intermetatarzal angle (IMA) is 7.5 degree.
IMA over 12 degrees is indicated for scarf ostetomy. For higher angles (over 20 degrees) we prefer wedge osteotomy of the first metatarsal bone base.
Subjectively, about 91% of patients were satisfied after scarf osteotomy. Higher percentage is in cohort of the patients treated at a later time, which is probably caused by longer learning curve of 30 to 40 surgeries.
In our study, the most common complication was delayed healing of wound probably due to traumatisation caused by short skin cut. Overall results, possibility of correction as well as clinical and cosmetic effect declare advantage of scarf osteotomy for hallux vagus.