Evaluation of scarf osteotomy for management of XXXX .

@entity1 @entity85 @entity4553 @entity7529
@entity4553 is a complex progressive deformity affecting the forefoot. The main pathologic anatomy concerns the first metatarsophalangeal joint, including a varus or medial deviation of the first metatarsal and pronation @entity85 . The goal of this study was to evaluate a series of consecutive @entity1 over a 2-year period after a scarf osteotomy of the first metatarsal. A scarf osteotomy was performed on 31 consecutive @entity1 with moderate to severe @entity4553 (intermetatarsal angle, 13-22  ; @entity4553 , 20-44  ). Twenty-nine @entity1 and 2 @entity1 had an average age of 57 years (range, 21-71 years) at the time of surgery. Preoperative and postoperative evaluations included standing anteroposterior and lateral radiographs, American Orthopaedic Foot and Ankle Score (AOFAS) score, physical examination, and foot pressure analysis by weight-bearing ink prints. @entity1 were evaluated radiographically and clinically in the initial postoperative period ( <=1 month), intermediate postoperative period (2-6 months), and final follow-up (12-36 months). Twenty-eight feet were available for analysis. Five of the 28 feet had concurrent surgeries on the lesser toes for hammer-toe correction or preoperative @entity7529 . Paired Student t test on the 28 feet showed a statistically significant improvement (P<.0001) between pre- and postoperative intermetatarsal angle, @entity4553 , and AOFAS score. One foot had recurrence of the @entity4553 . Paired analysis of variance of the 27 feet without recurrence showed a statistically significant improvement in the pre- and postoperative parameters (P<.0001). From this subset, the multiple-comparison Student-Newman-Keuis post hoc test showed a statistically significant (P<.0001) preservation of the correction in the intermediate follow-up period to final follow-up at an average 28 months.
