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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

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Delphi consensus on steps for scarf osteotomy: Establishing a standardized approach.

Togay Koç¹, Robin Elliot², Robert Boyd³

¹University Hospital Southampton NHS Foundation Trust & University of Southampton, United Kingdom; University of Southampton, United Kingdom.

Foot (Edinburgh, Scotland)

|May 20, 2025

Summary

This study standardized the scarf osteotomy procedure for hallux valgus correction. It provides a framework for surgical training, simulation, and assessment to improve consistency and reduce complications.

Keywords:

Delphi consensus Hallux valgus Procedural standardisation Scarf osteotomy Surgical training

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Area of Science:

Orthopedic Surgery
Surgical Technique Standardization

Background:

The scarf osteotomy is a common procedure for correcting hallux valgus (bunion).
Variability in surgical technique execution can lead to inconsistent outcomes and potential complications.

Purpose of the Study:

To establish a standardized sequence of key procedural steps for the scarf osteotomy.
To guide surgical training, simulation, and assessment in hallux valgus correction.

Main Methods:

A three-round Delphi consensus process was employed.
An expert panel of foot and ankle surgeons participated in the consensus process.

Main Results:

Statements achieving predefined consensus thresholds were identified.
A standardized framework for the scarf osteotomy procedure was developed.

Conclusions:

The study provides a framework for standardizing the scarf osteotomy procedure.
This standardization can inform training curricula, simulation design, and assessment criteria.
The findings aim to improve surgical consistency and reduce complications related to technical variability.