Kramer J, Barry L D, Helfman D N, Mehnert J A, Pokrifcak V M
Georgia Podiatric Surgical Residency Program, Smyrna.
J Foot Surg. 1992 Jul-Aug;31(4):360-7.
The Scarf bunionectomy offers the surgeon the ability to correct a mild to moderate intermetatarsal angle with the stability inherent to this procedure. When an increased proximal articular set angle is encountered, this procedure could previously only address either the increased intermetatarsal angle or the increased proximal articular set angle. The authors' modifications will incorporate the best attributes of the Scarf, Reverdin, and McBride bunionectomies to allow for concomitant correction of the osseous and soft tissue components of the hallux abducto valgus deformity. The authors' experience with 27 of these procedures performed on 15 different patients from 1987 to 1991 is presented.
Scarf拇外翻切除术为外科医生提供了矫正轻至中度跖间角的能力,且该手术本身具有稳定性。当遇到近端关节固定角增大时,此前该手术只能解决增大的跖间角或增大的近端关节固定角二者之一。作者的改良方法将融合Scarf、Reverdin和McBride拇外翻切除术的最佳特性,以便同时矫正拇外翻畸形的骨和软组织成分。本文介绍了作者在1987年至1991年间对15例不同患者实施的27例此类手术的经验。