The effect of sesamoid position on outcome following scarf osteotomy for hallux abducto valgus.
BACKGROUND
Hallux valgus is a common forefoot condition, with numerous operations described to correct the deformity. Debate remains as to the relative importance of correcting the position of the sesamoid apparatus.


METHODS
Forty-six cases were reviewed. Preoperative and post-operative X-rays were used to measure forefoot width, inter-metatarsal angle (IM), hallux valgus (HV) angle and sesamoid position (Reynolds stations). Satisfaction was assessed via questionnaire.


RESULTS
Significant improvements were seen in all radiological parameters. 37/43 patients were satisfied with the result. Comparison between the satisfied and non-satisfied group revealed significant differences in the IM angle (p<0.05) and HV angle (p<0.05). However, patient satisfaction was not associated with post-op sesamoid position or change in sesamoid position (p>0.05).


CONCLUSIONS
This study showed that scarf osteotomy, can successfully correct hallux valgus, with high levels of satisfaction. Satisfaction is associated with a greater correction of deformity. Improvement in sesamoid position was not associated with patient satisfaction.
Wilson
J D
JD
Freeman Hospital, 33 Derwentdale Gardens, High Heaton, Newcastle Upon Tyne, Tyne and Wear NE7 7QN, United Kingdom. f6081434@tees.ac.uk
Baines
J
J
Siddique
M S
MS
Fleck
R
R
D001696:Biomechanical Phenomena; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010027:Osteotomy / Q000379:methods; D017060:Patient Satisfaction; D011859:Radiography; D012189:Retrospective Studies; D012716:Sesamoid Bones / Q000601:surgery*; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D016896:Treatment Outcome