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Anatomy of the Lisfranc joint complex: An illustrated review with surgical approach.

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Hallux valgus treatment by percutaneous scarf-like screwless osteotomy: surgical technique and medium-term outcomes.

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Scarf Osteotomy Design What Can We Do Percutaneously?

Marc Elkaïm1, Josep Torrent2, Eduard Rabat Ribes3

  • 1Department of Orthopedic Surgery, Clinique Drouot Sport et Arthrose, 20 Rue Lafitte, Paris 75009, France.

Foot and Ankle Clinics
|July 26, 2025
PubMed
Summary

A minimally invasive scarf osteotomy offers an effective solution for hallux valgus. Two surgical techniques, with or without screws, demonstrate successful outcomes for reducible hallux valgus correction.

Keywords:
Hallux valgusMISMetatarsal osteotomyPercutaneousScarfScrewless

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Area of Science:

  • Orthopedic surgery
  • Foot and ankle procedures

Background:

  • Hallux valgus is a common foot deformity.
  • Traditional open scarf osteotomy has limitations.
  • Minimally invasive surgery offers potential benefits.

Purpose of the Study:

  • To describe two minimally invasive scarf osteotomy techniques.
  • To compare techniques with and without internal fixation.
  • To evaluate effectiveness in treating hallux valgus.

Main Methods:

  • Description of two minimally invasive scarf osteotomy techniques.
  • One technique uses internal fixation with headless compression screws.
  • The second technique is performed without screws, differing in the diaphyseal cut and incision number.

Main Results:

  • Both described techniques are effective for treating reducible hallux valgus.
  • Minimally invasive approach combines benefits of open surgery and minimally invasive procedures.

Conclusions:

  • Minimally invasive scarf osteotomy is a viable option for hallux valgus.
  • The choice between screw fixation or non-fixation techniques can be based on surgical preference and patient factors.