TRIP

Scarf Osteotomy for Correction of Tailor's Bunion: Mid- to Long-Term Followup.

Foot & Ankle International, 2010

Abstract BACKGROUND: The purpose of the study was to evaluate the increased correction possible with a mid shaft rotational osteotomy with the stability and ease of fixation associated with a scarf osteotomy.
MATERIALS AND METHODS: Between September 1999 and September 2006, 63 patients underwent operative repair of 77 Tailor's bunion deformities.
The mean followup period for the 28 patients reviewed in clinic was 6.5 years, (79.5 months; SD, 22).
RESULTS: Eighty-six percent were completely satisfied, 11.4% were satisfied with reservations and 3% were dissatisfied.
Ninety-one percent considered themselves better than before their surgery while 8.6% felt they were no better.
Preoperatively, the mean 4-5 intermetatarsal angle measured on weightbearing X-rays was 9.9 degrees (SD, 2.2), the mean postoperative intermetatarsal angle was 5.7 degrees (SD, 2.0).
The mean preoperative AOFAS score was 44.1 (SD, 14.5) and the mean postoperative score at 6-month review was 91.8 (SD, 20.2).
CONCLUSION: The rotational scarf osteotomy was a reliable procedure for the correction of Tailor's bunion deformities.
The rotational scarf osteotomy facilitated correction of the intermetatarsal angle while maintaining excellent sagittal and transverse plane stability.
Modified Coughlin procedure for surgical treatment of symptomatic tailor's bunion: a prospective followup study of 33 consecutive operations.