Journal of Investigative Surgery· 2026Q2
Application of Distal Chevron Biplanar Osteotomy Combined with Scarf or Proximal Lapidus Osteotomy in the Surgical Management of Moderate-to-Severe Hallux Valgus: A Retrospective Study
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- Q2SCImago
- 2026year
Short summary
Combining distal Chevron osteotomy with either Scarf or Lapidus osteotomy effectively treats moderate-to-severe hallux valgus, with Scarf offering faster initial pain relief and weight-bearing, while Lapidus provides better long-term correction of foot angles.
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Key points
- Both Chevron + Scarf and Chevron + Lapidus osteotomies effectively correct moderate-to-severe hallux valgus.
- The Chevron + Scarf group experienced significantly lower pain (VAS) at 1 week and 1 month post-surgery.
- The Chevron + Lapidus group demonstrated better correction of hallux valgus angle (HVA) and intermetatarsal angle (IMA) at 3 and 6 months.
- Healing time and time to full weight-bearing were shorter in the Chevron + Scarf group.
- Improvements in functional scores (AOFAS, SF-36) and complication rates were similar between the two surgical approaches.
AI-generated from the title and abstract; the full text is not read.
Abstract
Objective This paper aims to assess the clinical effectiveness of combining distal first metatarsal biplanar Chevron osteotomy with either midshaft Scarf or proximal Lapidus osteotomy in treating moderate-to-severe hallux valgus.Methods This retrospective study included patients with moderate-to-severe hallux valgus treated with Chevron + Scarf or Chevron + Lapidus osteotomy and followed for at least 6 months. Outcomes included VAS, HVA, IMA, DMAA, AOFAS score, SF-36, osteotomy healing time, full weight-bearing time, and complications.Results Eighty-eight patients were included: 49 in the Chevron + Scarf group and 39 in the Chevron + Lapidus group. The Chevron + Scarf group had lower VAS scores at 1 week and 1 month postoperatively (P < 0.05), whereas the Chevron + Lapidus group achieved lower HVA and IMA at 3 and 6 months (P < 0.05). Healing time and time to full weight-bearing were shorter in the Chevron + Scarf group (P < 0.05). Improvements in DMAA, AOFAS, and SF-36 scores and complication rates were comparable between groups (P > 0.05).Conclusion Both osteotomy strategies effectively correct moderate-to-severe hallux valgus. Each combination has relative advantages, and surgical choice should be tailored to the patient’s anatomical and functional needs.
The authors' abstract, as published at the source. Journal of Investigative Surgery, 2026 · DOI ↗
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Field: Orthopedics and Sports Medicine
Orthopedics and Sports MedicineMedicine