Hallux Valgus Correction With Rotational Scarf Combined With Adductor Hallucis Tendon Transposition

Hallux valgus affects 23% of people older than 40 years, and there are hundreds of methods dealing with this pathology, which have their advantages and disadvantages. The aim of the present prospective cohort study was to report our experience in treating the patients with hallux valgus and to perform a comparative analysis of the outcomes of the innovative and standard methods of surgical correction. Data on 78 patients (113 feet) with hallux valgus operated on between March 2010 and December 2015 using either an innovative method, which included rotational scarf osteotomy with bone fragment impaction and adductor hallucis tendon reinsertion, or the classical scarf osteotomy were analyzed. X-ray examination was performed preoperatively and 3 and 36 months after the procedure. A comparative analysis of the outcomes between the groups was carried out. No significant difference in mean radiographic data (p > .05) was found between these 2 groups preoperatively and 3 months after surgery. Nevertheless, the mean intermetatarsal angle 36 months after surgery in standard and innovative groups was 9.7 +/- 0.7 degrees and 9.0 +/- 0.8 degrees (p < .01) and the mean metatarsophalangeal angle 13.6 +/- 0.9 degrees and 13.2 +/- 1.1 degrees (p = .01), respectively. The innovative method of surgical correction of hallux valgus was seen to produce improved radiographic results. (C) 2018 by the American College of Foot and Ankle Surgeons. All rights reserved.