Abstract:

Objective To investigate the effects of Scarf combined with Akin osteotomy on hallux valgus.Methods 53 patients（60 feet）of hallux valgus who were operated from June 2015 to May 2016 with Scarf osteot⁃omy combined with Akin osteotomy. The preoperative HVA was（37.2 ± 7.5）° and（16.9 ± 2.7）°；DMAA is（13.5± 3.5）°. The preoperative AOFAS score was（67.1 ± 2.9）points. Results 53 patients（60 feet）were followed up for36 months after operation. None of them developed bone nonunion. There is one patient（1 foot）with metatarsalgia，one patient（1 foot）with deep infection，one patient（1 foot）with necrosis of head of first metatarsus. Postopera⁃tive parameters were：HVA（12.9 ± 1.4）°，IMA（9.5 ± 1.3）°，DMAA（10.5 ± 2.5）°，and AOFAS score（95.3± 7.3）points. There parameters were all improved compared with those before operation（P < 0.01）. Conclusion Scarf osteotomy combined with Akin osteotomy can correct deformity and improve symptoms. Therefore，it is aneffective method for the treatment of hallux valgus.

Key words: hallux valgus, scarf, akin, complication, outcome