Journal List > J Korean Foot Ankle Soc > v.21(3) > 1043452

J Korean Foot Ankle Soc. 2017 Sep;21(3):93-97. Korean.
Published online September 15, 2017.  https://doi.org/10.14193/jkfas.2017.21.3.93
Copyright © 2017 Korean Foot and Ankle Society
The Treatment for Hallux Valgus with Scarf Osteotomy in Elderly Patients with Osteoporosis
Seung Hyun Hwang, Su Chan Lee, Chang Hyun Nam, Ji-Hoon Baek and Hye Sun Ahn
Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital, Seoul, Korea.

Corresponding Author: Seung Hyun Hwang. Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital, 120 Sinmok-ro, Yangcheon-gu, Seoul 07999, Korea. Tel: 82-2-3219-9229, Fax: 82-2-2061-8605, Email: hsh3182@naver.com
Received April 27, 2017; Revised July 13, 2017; Accepted July 14, 2017.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

The aim of this study was to evaluate the radiological and clinical outcomes of scarf osteotomy for hallux valgus (HV) deformity in elderly patient with osteoporosis.

Materials and Methods

A total of 58 elderly patients (mean age, 72.6 years) underwent scarf osteotomy for HV deformity between 2008 and 2015. The mean follow-up period was 24.4 months. Of the 58 patients, 42 were diagnosed with osteoporosis and 16 were diagnosed as normal. The radiological and clinical outcomes were assessed preoperatively, postoperatively, and at final follow-up, including HV angle, intermetatarsal (IM) angle, American Orthopaedic Foot and Ankle Society (AOFAS) score, patient satisfaction, visual analogue scale (VAS), and complication.

Results

There was no significant difference in HV angle and IM angle between the osteoporosis group and normal bone mineral densitometry group at all time points, preoperative, postoperative, and final follow-up. Moreover, there was no statistically significant difference between the two groups with respect to the AOFAS score and VAS evaluations. In the osteoporosis group, the mean HV angle improved from 36.7° preoperatively to 11.3° at the time of final follow-up, and the mean IM angle improved from 13.2° to 5.7°. The mean AOFAS score improved from 52.6 preoperatively to 89.1 at the time of final follow-up. With respect to satisfaction, 83.4% of patients were very satisfied or satisfied. There were no serious complications, and all cases showed complete union at the osteotomy site.

Conclusion

We believed that scarf osteotomy is a safe, effective procedure for the correction of elderly patients with osteoporosis.

Keywords: Osteoporosis; Hallux valgus; Scarf osteotomy

Figures


Figure 3
Postoperative radiograph at 27-month follow-up.
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Tables


Table 1
Comparison of Demographic, Radiological and Clinical Outcomes between Two Groups
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Table 2
Radiographic and Clinical Outcomes in Osteoporosis Group
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Table 3
Comparison of Overall Satisfaction between Two Groups
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Notes

Conflict of interest:None.

Financial support:None.

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