Salmeron F, Sales De Gauzy J, Galy C, Darodes P, Cahuzac J P
Service d'Orthopédie Pédiatrique, Hôpital des enfants, 330, avenue de Grande-Bretagne, BP 3119, 31026 Toulouse Cedex 3.
Rev Chir Orthop Reparatrice Appar Mot. 2001 Nov;87(7):706-11.
The aim of this study was to analyze the results of surgical treatment of hallux valgus using scarf osteotomy in children and adolescents.
Twelve children and adolescents (19 feet) operated on with scarf osteotomy were reviewed retrospectively with a mean follow-up of 15 months. Clinical and radiographic results were assessed.
We obtained 10 good results (asymptomatic cases), 9 poor with residual symptoms such as pain or cosmetic problems. Two populations could be identified considering the metatarsus varus and distal metatarsal angle. Those with metatarsus varus >/= 10 degrees or normal distal metatarsal angle had good results. Those without metatarsus varus had poor results. There was no disturbance of growth.
Scarf osteotomy can be used in children without risk of hindering growth. Nevertheless, good results can be achieved only in cases of true metatarsus varus and normal distal metatarsal angle. In other cases, a different osteotomy of the first metatarsal would be preferable.
本研究旨在分析儿童和青少年采用Scarf截骨术治疗拇外翻的手术效果。
回顾性分析12例接受Scarf截骨术的儿童和青少年（19足），平均随访15个月。评估临床和影像学结果。
我们获得了10例良好结果（无症状病例），9例结果较差，存在疼痛或外观问题等残留症状。考虑到跖内翻和第一跖骨远端角，可将患者分为两组。跖内翻≥10°或第一跖骨远端角正常的患者结果良好。无跖内翻的患者结果较差。生长未受干扰。
Scarf截骨术可用于儿童，不会有阻碍生长的风险。然而，只有在真正的跖内翻和第一跖骨远端角正常的情况下才能取得良好效果。在其他情况下，第一跖骨的不同截骨术可能更可取。
