The Procedures

Scarf and Great Toe Osteotomies in the Treatment of Hallux Valgus

The SCARF, first metatarsal osteotomy, is most often combined with the FIRST PHALANX (P1) great toe osteotomy for hallux valgus correction. This is why these two procedures are described in the same chapter. Nevertheless, the scarf and the P1 osteotomy may also be used separately for other indications, such as hallux limitus.

In fact, hallux valgus deformity correction may be divided into four chronological steps (Fig. 01b) we describe successively:

1) The lateral release of the Metatarso-Sesa-moidal Phalangeal Complex (MSPC);

2) The scarf first metatarsal osteotomy;

3) The medial soft tissue tightening;

4) The first phalanx great toe osteotomy (performed in most cases).

Hallux Valgus Scarf

1st metatarsal scarf and great toe 1st phalanx osteotomies in hallux valgus correction.

1st metatarsal scarf and great toe 1st phalanx osteotomies in hallux valgus correction.

After this description, we will study:

- The check tests to be performed during hallux valgus surgery;

- The postoperative period;

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