Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Mar;2(1):31-6.
Epub 2014 Mar 15.

Comparison of Clinical Outcomes of Scarf and Chevron Osteotomies and the McBride Procedure in the Treatment of Hallux Valgus Deformity

Mohammad Fakoor  1 , Naser Sarafan  1 , Payam Mohammadhoseini  1 , Mohsen Khorami  1 , Hamidreza Arti  1 , SeyedShahnam Mosavi  1 , Amir Aghaeeaghdam  1
Affiliations

Comparison of Clinical Outcomes of Scarf and Chevron Osteotomies and the McBride Procedure in the Treatment of Hallux Valgus Deformity

Mohammad Fakoor et al. Arch Bone Jt Surg. 2014 Mar.

Abstract

Background: Hallux valgus deformity is a common chronic problem with a reported prevalence of 28.4% and its chief complaint is pain. Thus far, different surgical procedures with their proposed indications have been introduced. This study compared three current procedures, namely the chevron and scarf osteotomies and the McBride procedure.

Methods: This retrospective cohort was conducted at the Ahvaz University of Medical Sciences on 44 patients with moderate hallux valgus deformity from 2010 and 2013. All of the patients underwent one of the three procedures (chevron, scarf or McBride). Preoperative and follow up radiographies were evaluated in terms of hallux valgus and intermetatarsal angle correction. The Foot and Ankle Disability Index was filled out to assess the functional outcome and the Visual Analogue Scale was used to evaluate pain. Also, satisfaction, aesthetics and the rate of recurrence was evaluated.

Results: Hallux valgus angle and intermetatarsal angle correction were significantly higher in scarf, but not in chevron and McBride. However, from amongst the three procedures, there was no significant difference in terms of the Foot and Ankle Disability Index score, aesthetics, satisfaction level, pain score and recurrence rate.

Conclusions: Considering that scarf osteotomy had better results in this study, we think that scarf osteotomy can be considered as a first choice for the treatment of moderate hallux valgus deformity.

Keywords: Chevron osteotomy; Hallux valgus; McBride procedure; Scarf osteotomy.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Comparing the mean and range of Hallux valgus angle correction between 3 treatment methods.
Figure 2.
Figure 2.
Comparing the mean and range of functional scores between the three treatment methods.
Figure 3.
Figure 3.
Pre-op (a), post-op (b) and final follow-up visit of a woman after Scarf osteotomy with screw fixation. Patient was satisfied of aesthetic.
Figure 4.
Figure 4.
Pre-op (a) and post-op (b) x-ray of a 32 year-old woman with hallux valgus after Chevron osteotomy.
Figure 5.
Figure 5.
Pre-op (a) and post-op (b) x-ray of a 29 year-old woman after McBride procedure.
See this image and copyright information in PMC

References

    1. Vanore JV, Christensen JC, Kravitz SR, Schuberth JM, Thomas JL, Weil LS, et al. Diagnosis and treatment of first metatarsophalangeal joint disorders. Section 1: Hallux valgus. J Foot Ankle Surg. 2003;42(3 ):112–23. - PubMed
    1. Roddy E, Zhang W, Doherty M. Prevalence and associations of hallux valgus in a primary care population. Arthritis Rheum. 2008;59(6 ):857–62. - PubMed
    1. Hannan MT, Menz HB, Jordan JM, Cupples LA, Cheng CH, Hsu YH. High heritability of hallux valgus and lesser toe deformities in adult men and women. Arthritis Care Res (Hoboken) 2013;65(9 ):1515–21. - PMC - PubMed
    1. Schneider W, Csepan R, Knahr K. Reproducibility of the radiographic metatarsophalangealangle in halluxsurgery. J Bone Joint Surg Am. 2003;85(3 ):494–9. - PubMed
    1. Robinson AH, Limbers JP. Modern concepts in the treatment of hallux valgus. J Bone Joint Surg Br. 2005;87(8 ):1038–45. - PubMed

LinkOut - more resources