title: Rotational scarf (Z) osteotomy bunionectomy for correction of high intermetatarsal angles.
abstract: A modification of the scarf osteotomy bunionectomy is described. The modification involves a change in the movement of the osseous fragments from lateral transposition to lateral rotation of the metatarsal head fragment around a stationary axis at the metatarsal base. Rotation of the distal fragment in this manner allows greater than 50% transposition and, therefore, higher intermetatarsal angle corrections can be obtained as compared to a transpositional scarf osteotomy. The configuration of the scarf osteotomy is more stable to the stress of weightbearing than the closing base wedge osteotomy, and this modification can provide a useful alternative to closing base wedge osteotomy for the correction of severe hallux valgus deformity.
authors.affiliation: American College of Foot Surgeons, Richmond, VA 23220.
authors.forename: H F
authors.initials: HF
authors.lastname: Duke
mesh_terms: D000328:Adult; D002648:Child; D005260:Female; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000473:pathology; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011859:Radiography