Is scarf osteotomy as effective as Turan and Distal chevron osteotomy in advance hallux valgus ?

Abstract

Aim :Clinical and radiologic comparison of diaphyseal osteotomy (Scarf) with two different distal osteotomies (Chevron and Turan) in moderate and advanced hallux valgus patients. Material and method:In this retrospective study, 77 patients were evaluated between 2013-2016. The remaining 38 patients who met the inclusion criteria of 77 patients were included in the study. Turan osteotomies were performed on 17 patients. Chevron osteotomies were performed on 12 patients and Scarf osteotomies were performed on 9 patients.Patients were evaluated with preoperative and postoperative clinical parameters (AOFAS, VAS, PSS) and radiological parameters (HVA, IMA, DMAA, SP, 1.ML, 1.W.S.). Results:All three groups, postoperative HVA, IMA, DMAA, Metatarsal length, AOFAS, VAS and PSS were found significantly different in the analysis using One Way ANOVA method. When these values were compared between each other by examining the Turek test; HVA, IMA, DMMA were significantly higher in Scarf osteotomy patients than patients treated with distal Chevron and Turan osteotomy.AOFAS, VAS and PSS were found to be significantly lower in patients with Scarf osteotomy compared to patients withDistal Chevron and Turan osteotomy. Conclusion:There was no statistically significant difference between the clinical and radiological results of Turan and Chevron osteotomies.The clinical and radiological superiority of these two osteotomies to Scarf osteotomy was statistically determined.

Keywords

• halluks valgus
• halluks valgus
• scarf osteotomisi
• turan osteotomisi
• hallux valgus
• scarf osteotomy
• turan osteotomy