Pes Planus Deformity and Its Association With Hallux Valgus Recurrence Following Scarf Osteotomy.

Foot & Ankle International
Gavin John HeyesAndrew Molloy

Abstract

Hallux valgus recurrence is an unsatisfactory complication, with many causes postulated. This study investigated the effect of pes planus on recurrence after scarf osteotomy. A total of 183 feet were retrospectively reviewed. All patients were treated with a scarf osteotomy and if required Akin osteotomy. We measured preoperative lateral talus first metatarsal angle (T1MA) to study pes planus; an angle of under -4 degrees was considered pes planus. We measured pre and postoperative hallux valgus angle (HVA), intermetatarsal angle (IMA), and sesamoid location. In total 164 feet were suitable for inclusion, with follow-up of at least 6 months (10 males and 154 females, mean age: 52 years). Recurrence frequency (HVA greater than 15 degrees) was 27 feet (16%). Hallux valgus recurrence was not influenced by gender (P value = .66) or preoperative IMA (P value = .48). Preoperative HVA greater than 35 degrees was associated with increased frequency of recurrence (P value = .004). Those with T1MA less than -10 degrees demonstrated progression in HVA and deterioration in sesamoid location up to 6 months postoperatively (P value = .038). HVA did not progress beyond 6 months. The prevalence of recurrent hallux valgus with normal T1MA was 1...Continue Reading

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Citations

Mar 26, 2021·Foot & Ankle International·Jesse SteadmanCharles L Saltzman
Mar 31, 2021·The Journal of Bone and Joint Surgery. American Volume·Mansur M HalaiTimothy R Daniels
Apr 24, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Adriel You Wei TayKevin Koo
Aug 5, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·T L LewisD J Gordon
Aug 6, 2021·Foot & Ankle International·Chien-Shun WangChao-Ching Chiang
Aug 6, 2021·Foot & Ankle International·Neil BakshiAlexej Barg

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