scarf osteotomy

scarf osteotomy

Z osteotomy first metatarsal distal osteotomy used to correct hallux abductovalgus deformity; Z-shaped cut made through first metatarsal shaft (to realign the longitudinal axis along sagittal and horizontal planes; careful angulation of short arms of Z allows frontal-plane rotation of first metatarsal head) and resection of medial eminence at first metatarsal head (Figure 1); the osteotomy is normally fixated internally using wires or bone screws, allowing early postoperative ambulation
Figure 1: (A) Scarf osteotomy to 1st metatarsal, and Akin procedure to proximal phalanx hallux; (B) Scarf osteotomy, medial view. This article was published in Neale's Disorders of the Foot, Lorimer, French, O'Donnell, Burrow, Wall, Copyright Elsevier, (2006).
Mentioned in ?
References in periodicals archive ?
Surgical strategies: scarf osteotomy for hallux valgus.
Scarf osteotomy for hallux valgus repair: the dark side, Coetzee, JC, Foot Ankle Int.
The shaft of the first metatarsal is the site of more severe hallux valgus deformities and requires procedures such as a Scarf osteotomy for repair.
The Scarf osteotomy is similar to a chevron but more bone is cut allowing for slightly more correction of a deformity.