Fifth metatarsal scarf osteotomy without implant fixation

Adrien Albert; Mahdi Zribi; Anaïs Christophe; Thibaut Leemrijse

doi:10.1016/j.otsr.2021.102960

Fifth metatarsal scarf osteotomy without implant fixation

Orthop Traumatol Surg Res. 2021 Oct;107(6):102960. doi: 10.1016/j.otsr.2021.102960. Epub 2021 May 13.

Authors

Adrien Albert¹, Mahdi Zribi², Anaïs Christophe³, Thibaut Leemrijse⁴

Affiliations

¹ Centre Hospitalier Régional de Namur, 185 Avenue Albert 1(er), 5000 Namur, Belgium. Electronic address: a1.albert@belgacom.net.
² Institut d'Orthopédie M. Kassab, Rue des Travailleurs - Ksar Saïd La Mannouba, 2010 Tunis, Tunisia.
³ Centre Hospitalier Régional de Namur, 185 Avenue Albert 1(er), 5000 Namur, Belgium.
⁴ Foot and Ankle Institute, 5 Avenue Ariane, 1200 Brussels, Belgium.

PMID: 33992833
DOI: 10.1016/j.otsr.2021.102960

Abstract

Fifth metatarsal shaft osteotomy has demonstrated efficacy for bunionette. We adapted screwless 1st metatarsal scarf osteotomy to the 5th ray. The technique consists in short osteotomy, translation and diaphyseal bone-suture. We report the first 25 operated feet, with mean AOFAS score 58.4 preoperatively and 94.9 postoperatively at a mean 25 months' follow-up. These results were comparable to reported data, whatever the deformity.

Keywords: Bunionette; Metatarsal; Osteotomy; Scarf.

MeSH terms

Bunion, Tailor's*
Hallux Valgus* / diagnostic imaging
Hallux Valgus* / surgery
Humans
Metatarsal Bones* / diagnostic imaging
Metatarsal Bones* / surgery
Osteotomy
Prostheses and Implants
Treatment Outcome