Lipscombe Stephen, Molloy Andy, Sirikonda Siva, Hennessy Mike S
Orthopaedic SHO, Trauma and Orthopaedics, The Royal Liverpool Children's Hospital, Eaton Road, Liverpool, UK.
J Foot Ankle Surg. 2008 Jul-Aug;47(4):273-7. doi: 10.1053/j.jfas.2008.02.021. Epub 2008 May 12.
We prospectively reviewed 22 patients (31 feet) who underwent a scarf osteotomy between January 2001 and March 2002. There were 20 females and 2 males. Ages ranged from 35 to 77 years (mean = 57 years). American Orthopedic Foot and Ankle Society (AOFAS) scores improved from a preoperative mean of 47.94 +/- 13.57 and increased significantly to 96.10 +/- 6.15 (P < .01) after 12 months. The hallux valgus angle improved in all patients from a preop mean of 31.4 +/- 8.0 degrees to 11.0 +/- 10.8 degrees at 12 months. The intermetatarsal angle improved from 13.0 +/- 4.2 degrees to 6.1 +/- 3.2 degrees. All of these changes were significant. Bony union was achieved in all patients. There were no significant changes in peak pressure, pressure/time, or force/time pedobarography noted after 12 months. Significant improvement in pain scores from preoperative mean of 21.29 +/- 11.0 to 32.90 +/- 9.57 at 5 years (P < .01) was noted and 90.9% of patients remained satisfied with the operation and would recommend the procedure. There were 2 complications. One patient experienced a traumatic neuroma and another avascular necrosis of the first metatarsal head. The scarf osteotomy is a safe and effective procedure with reproducible and excellent medium-term results.
我们前瞻性地回顾了2001年1月至2002年3月期间接受围巾截骨术的22例患者（31足）。其中女性20例，男性2例。年龄范围为35至77岁（平均57岁）。美国足踝矫形外科学会（AOFAS）评分从术前平均47.94±13.57分显著提高到12个月后的96.10±6.15分（P<.01）。所有患者的拇外翻角从术前平均31.4±8.0度改善到12个月时的11.0±10.8度。跖间角从13.0±4.2度改善到6.1±3.2度。所有这些变化均具有显著性。所有患者均实现了骨愈合。12个月后，足底压力测定的峰值压力、压力/时间或力/时间均无显著变化。5年时疼痛评分从术前平均21.29±11.0分显著改善到32.90±9.57分（P<.01），90.9%的患者对手术仍满意并会推荐该手术。发生了2例并发症。1例患者出现创伤性神经瘤，另1例出现第一跖骨头缺血性坏死。围巾截骨术是一种安全有效的手术，具有可重复且优异的中期效果。
