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Updated: May 27, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Osteotomies for bunionette deformity.

Lowell Weil1, Lowell Scott Weil

  • 1Weil Foot & Ankle Institute, 1455 Golf Road, Des Plaines, IL 60016, USA. lwj@weil4feet.com

Foot and Ankle Clinics
|November 29, 2011
PubMed
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The Scarfette procedure offers a stable and effective surgical option for bunionette deformities, allowing for early weight-bearing. This method is preferred for its balance of stability and patient recovery in treating forefoot deformities.

Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery

Background:

  • Bunionette deformity treatment involves various osteotomy procedures.
  • Different osteotomies present unique advantages and disadvantages regarding correction, stability, and recovery.

Purpose of the Study:

  • To review and compare surgical osteotomy techniques for bunionette deformity.
  • To identify the most suitable procedure based on deformity severity and surgical outcomes.

Main Methods:

  • Review of existing literature on bunionette osteotomies.
  • Analysis of techniques including distal metatarsal, diaphyseal, proximal base, and combined procedures.
  • Evaluation of the Scarfette procedure as a specific treatment option.

Main Results:

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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

  • Distal osteotomies offer less disability but risk inadequate correction.
  • Diaphyseal and proximal osteotomies allow greater correction but involve longer recovery.
  • The Scarfette procedure provides inherent stability and allows early weight-bearing.

    • Conclusions:

    • The Scarfette procedure is a preferred choice for mild to moderate bunionette deformities due to its stability and early weight-bearing potential.
    • Careful selection of osteotomy technique is crucial for optimal bunionette deformity correction and patient outcomes.