Actual tendencies of Hallux Valgus surgical treatment.
AJTES Vol 6, No 1, January 2022
Julian Ruci at al


hallux valgus
metatarsophalangeal joint

How to Cite

Ruci, J., & Selmani, E. (2022). Actual tendencies of Hallux Valgus surgical treatment. Albanian Journal of Trauma and Emergency Surgery, 6(1), 939-943.


The purpose of this study is to evaluate which of the methods selected in patients with moderate or severe hallux valgus a result in a better correction of hallux valgus angle (HVA) and intermetatarsal angle (IMA) in Scarf osteotomy as compared to Chevron osteotomy.

Material and methods; In our study, we selected 36 patients, 16 scarf and 20 chevron osteotomies, with all surgical options from skin incision, capsular and bunionectomy to bone reorientation. Deformities of patients were classified as mild, moderate and severe according to clinical and radiological findings. The results were measured using radiographic HVA, IMA and distal metatarsal articular angle (DMAA).

Results: No statistical differences were found in HVA, IMA and DMAA between scarf and chevron osteotomy in mild to moderate hallux valgus. In severe hallux valgus, Scarf osteotomy corrected HVA better than Chevron, although this group consisted of twelve patients. Two patients in the Chevron group and three in the Scarf group developed subluxation of the metatarsophalangeal joint.

Conclusion: In patients with moderate and severe hallux valgus the results of Scarf and Chevron osteotomy have no specific difference. Change to IMA angle with the subluxation of the first metatarsophalangeal joint some months after operation were the main cause for insufficient correction. We favor the Scarf osteotomy because it is more profitable, with correction of HVA and IMA.
Julian Ruci at al


Barouk, LS: The first metatarsal Scarf osteotomy associated with the first phalanx osteotomy in the hallux valgus treatment. Extrait de medicine et chirurgie du pied. EFORT, Foot and ankle speciality day: 133-160, 1993

Barouk, LS: Scarf osteotomy of the first metatarsal in the treatment of hallux valgus. Foot Diseases 2(1):35-48, 1995

Coughlin, M. J.: Hallux valgus. Instr Course Lect, 46: 357-91, 1997

Mann, R. A.: Decision-making in bunion surgery. Instr Course Lect, 39: 3-13, 1990

Schneider, W.; Csepan, R.; and Knahr, K.: Reproducibility of the radiographic metatarsophalangeal angle in hallux surgery. J Bone Joint Surg Am, 85-A(3): 494-9, 2003

Trnka, H. J.; Zembsch, A.; Easley, M. E.; Salzer, M.; Ritschl, P.; and Myerson, M. S.:The chevron osteotomy for correction of hallux valgus. Comparison of findings after two and five years of follow-up. J Bone Joint Surg Am, 82-A(10): 1373-8, 2000.

Crosby, LA; Bozarth, GR: Fixation comparison for Chevron osteotomies. Foot & Ankle Int’l, 19(1):41-43, 1998

Bonnel, F; Canovas, F; Poiree, G; et al: Evaluation of the Scarf osteotomy in hallux valgus related to distal metatarsal articular angle: a prospective study of 79 operated cases. Rev Chir

Orthop Reparatrice Appar Mot. July 85 (4):381-6, 1999

Meier, P. J., and Kenzora, J. E.: The risks and benefits of distal first metatarsal osteotomies. Foot Ankle, 6(1): 7-17, 1985.

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