Hrubina Maros, Skotak Miroslav, Letocha Jaroslav, Dzupa Valer
Acta Orthop Belg. 2015 Mar;81(1):57-64.
The aim of this study was to present the midterm results of modified scarf osteotomy in the treatment of tailor's bunion. From 2004 to 2011, 23 modified scarf osteotomies (with the fifth metatarsal shortening) were performed in group of 18 patients for the treatment of tailor's bunion. The mean follow-up period was 58.8 (range: 24-89) months. Patients were evaluated retrospectively--clinically and radiographically, using the American Orthopaedic Foot & Ankle Society scoring system with weight-beared radiographs at the end of 2013. Five males and thirteen females (mean age: 46.5 years) were included in the study. Two males and three females were operated bilaterally. Average American Orthopaedic Foot & Ankle Society scores were 59.8 preoperatively and 92.3 at the final follow-up. Three patients had complications: delayed union, superficial wound infection and distal screw migration. The modified scarf osteotomy in the correction of tailor's bunion offers promising results in the midterm.
本研究的目的是展示改良斯卡夫截骨术治疗小趾囊炎的中期结果。2004年至2011年期间，对18例患者进行了23例改良斯卡夫截骨术（同时缩短第五跖骨）以治疗小趾囊炎。平均随访期为58.8个月（范围：24 - 89个月）。在2013年底，采用美国矫形足踝协会评分系统并结合负重位X线片，对患者进行回顾性临床和影像学评估。研究纳入了5名男性和13名女性（平均年龄：46.5岁）。其中2名男性和3名女性接受了双侧手术。术前美国矫形足踝协会平均评分为59.8分，末次随访时为92.3分。3例患者出现并发症：骨延迟愈合、浅表伤口感染和远端螺钉移位。改良斯卡夫截骨术矫正小趾囊炎在中期显示出良好的效果。
