Yıl 2018, Cilt 4, Sayı 1, Sayfalar 6 - 15 2018-01-04

Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study

Bülent Avcu [1] , Yavuz Akalın [2] , Nazan Çevik [3] , Alpaslan Öztürk [4] , Namık Şahin [5] , Savaş Öztaş [6] , Yüksel Özkan [7]

174 194

Objective. The aim of this study was to compare the clinical and radiological results of Mau osteotomy and Scarf osteotomy with a modified McBride procedure to patients with moderate to severe hallux valgus deformity. Methods. The study included 40 feet which patients were separated into 2 groups followed up for 5 months. Scarf osteotomy was applied to 20 patients including 16 females and 4 males (Scarf group)) and a Mau osteotomy to 20 patients including 17 females and 3 males (Mau group). Radiological measurements were taken preoperative, postoperative and at the final follow-up examination of the hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA), metatarsocuneiform angle (MCA), the 1st metatarsophalangeal joint congruity, 1st metatarsal length, fibular sesamoid subluxation rate. Clinical evaluation was made according to the American Orthopaedic Foot and Ankle Society (AOFAS) and the severity of pain was assessed with the visual analog scale (VAS). Results. There was no difference between the groups in term of the mean HVA, IMA, MCA and DMAA values in preoperative and postoperative measurements. A significant improvement was determined in all the angle values in Scarf and Mau group (p < 0.001). A significant increase in DMAA and shortening in the metatarsal length were determined in Mau group compared to Scarf group (p < 0.001). An improvement in joint congruity was seen in the goups (p < 0.001). There was a significant improvement in term of the AOFAS and VAS values in the groups (p < 0.001). Conclusion. Scarf and Mau osteotomies can provide the desired level of improvement in the short-term follow-up results of moderate to severe hallux valgus deformity, taking into consideration the clinical importance that complications are not formed. 

Hallux valgus, Scarf osteotomy, Mau osteotomy
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Konular Sağlık Bilimleri
Dergi Bölümü Original Article
Yazarlar

Yazar: Bülent Avcu
E-posta: ozturkalp16@gmail.com
Kurum: Department of Orthopedics and Traumatology, Private Park Hospital, Adıyaman
Ülke: Turkey


Yazar: Yavuz Akalın
E-posta: dryakalin@yahoo.com
Kurum: Department of Orthopedics and Traumatology, University of Health Sciences, Bursa Yüksek Ihtisas Training and Research Hospital, Bursa
Ülke: Turkey


Yazar: Nazan Çevik
E-posta: nazancevik@gmail.com
Kurum: Department of Orthopedics and Traumatology, University of Health Sciences, Bursa Yüksek Ihtisas Training and Research Hospital, Bursa
Ülke: Turkey


Yazar: Alpaslan Öztürk
E-posta: ozturkalp16@gmail.com
Kurum: Department of Orthopedics and Traumatology, University of Health Sciences, Bursa Yüksek Ihtisas Training and Research Hospital, Bursa
Ülke: Turkey


Yazar: Namık Şahin
E-posta: drnamiksahin@gmail.com
Kurum: Department of Orthopedics and Traumatology, University of Health Sciences, Konya Training and Research Hospital, Konya
Ülke: Turkey


Yazar: Savaş Öztaş
E-posta: siar62@hotmail.com
Kurum: Department of Orthopedics and Traumatology, Orhangazi State Hospital, Bursa
Ülke: Turkey


Yazar: Yüksel Özkan
E-posta: dryukselozkan@gmail.com
Kurum: Department of Orthopedics and Traumatology, University of Health Sciences, Bursa Yüksek Ihtisas Training and Research Hospital, Bursa
Ülke: Turkey


Bibtex @araştırma makalesi { eurj302186, journal = {The European Research Journal}, issn = {}, address = {Sağlık Araştırmaları ve Stratejileri Derneği}, year = {2018}, volume = {4}, pages = {6 - 15}, doi = {10.18621/eurj.302186}, title = {Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study}, key = {cite}, author = {Özkan, Yüksel and Akalın, Yavuz and Öztaş, Savaş and Çevik, Nazan and Şahin, Namık and Avcu, Bülent and Öztürk, Alpaslan} }
APA Avcu, B , Akalın, Y , Çevik, N , Öztürk, A , Şahin, N , Öztaş, S , Özkan, Y . (2018). Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study. The European Research Journal, 4 (1), 6-15. DOI: 10.18621/eurj.302186
MLA Avcu, B , Akalın, Y , Çevik, N , Öztürk, A , Şahin, N , Öztaş, S , Özkan, Y . "Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study". The European Research Journal 4 (2018): 6-15 <http://dergipark.gov.tr/eurj/issue/32896/302186>
Chicago Avcu, B , Akalın, Y , Çevik, N , Öztürk, A , Şahin, N , Öztaş, S , Özkan, Y . "Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study". The European Research Journal 4 (2018): 6-15
RIS TY - JOUR T1 - Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study AU - Bülent Avcu , Yavuz Akalın , Nazan Çevik , Alpaslan Öztürk , Namık Şahin , Savaş Öztaş , Yüksel Özkan Y1 - 2018 PY - 2018 N1 - doi: 10.18621/eurj.302186 DO - 10.18621/eurj.302186 T2 - The European Research Journal JF - Journal JO - JOR SP - 6 EP - 15 VL - 4 IS - 1 SN - -2149-3189 M3 - doi: 10.18621/eurj.302186 UR - http://dx.doi.org/10.18621/eurj.302186 Y2 - 2017 ER -
EndNote %0 The European Research Journal Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study %A Bülent Avcu , Yavuz Akalın , Nazan Çevik , Alpaslan Öztürk , Namık Şahin , Savaş Öztaş , Yüksel Özkan %T Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study %D 2018 %J The European Research Journal %P -2149-3189 %V 4 %N 1 %R doi: 10.18621/eurj.302186 %U 10.18621/eurj.302186