title: Comparison of Clinical Outcomes of Scarf and Chevron Osteotomies and the McBride Procedure in the Treatment of Hallux Valgus Deformity.
abstract: BACKGROUND
  Hallux valgus deformity is a common chronic problem with a reported prevalence of 28.4% and its chief complaint is pain. Thus far, different surgical procedures with their proposed indications have been introduced. This study compared three current procedures, namely the chevron and scarf osteotomies and the McBride procedure.
  
  
  METHODS
  This retrospective cohort was conducted at the Ahvaz University of Medical Sciences on 44 patients with moderate hallux valgus deformity from 2010 and 2013. All of the patients underwent one of the three procedures (chevron, scarf or McBride). Preoperative and follow up radiographies were evaluated in terms of hallux valgus and intermetatarsal angle correction. The Foot and Ankle Disability Index was filled out to assess the functional outcome and the Visual Analogue Scale was used to evaluate pain. Also, satisfaction, aesthetics and the rate of recurrence was evaluated.
  
  
  RESULTS
  Hallux valgus angle and intermetatarsal angle correction were significantly higher in scarf, but not in chevron and McBride. However, from amongst the three procedures, there was no significant difference in terms of the Foot and Ankle Disability Index score, aesthetics, satisfaction level, pain score and recurrence rate.
  
  
  CONCLUSIONS
  Considering that scarf osteotomy had better results in this study, we think that scarf osteotomy can be considered as a first choice for the treatment of moderate hallux valgus deformity.
authors.affiliation: Mohammad Fakoor MD, Naser Sarafan MD, Payam Mohammadhoseini MD, Department of Orthopedic, Emam Teaching Hospital, Ahvaz University of Medical Science, Ahvaz, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Fakoor
authors.affiliation: Mohammad Fakoor MD, Naser Sarafan MD, Payam Mohammadhoseini MD, Department of Orthopedic, Emam Teaching Hospital, Ahvaz University of Medical Science, Ahvaz, Iran.
authors.forename: Naser
authors.initials: N
authors.lastname: Sarafan
authors.affiliation: Mohammad Fakoor MD, Naser Sarafan MD, Payam Mohammadhoseini MD, Department of Orthopedic, Emam Teaching Hospital, Ahvaz University of Medical Science, Ahvaz, Iran.
authors.forename: Payam
authors.initials: P
authors.lastname: Mohammadhoseini
authors.affiliation: Mohammad Fakoor MD, Naser Sarafan MD, Payam Mohammadhoseini MD, Department of Orthopedic, Emam Teaching Hospital, Ahvaz University of Medical Science, Ahvaz, Iran.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Khorami
authors.affiliation: Mohammad Fakoor MD, Naser Sarafan MD, Payam Mohammadhoseini MD, Department of Orthopedic, Emam Teaching Hospital, Ahvaz University of Medical Science, Ahvaz, Iran.
authors.forename: Hamidreza
authors.initials: H
authors.lastname: Arti
authors.affiliation: Mohammad Fakoor MD, Naser Sarafan MD, Payam Mohammadhoseini MD, Department of Orthopedic, Emam Teaching Hospital, Ahvaz University of Medical Science, Ahvaz, Iran.
authors.forename: SeyedShahnam
authors.initials: S
authors.lastname: Mosavi
authors.affiliation: Mohammad Fakoor MD, Naser Sarafan MD, Payam Mohammadhoseini MD, Department of Orthopedic, Emam Teaching Hospital, Ahvaz University of Medical Science, Ahvaz, Iran.
authors.forename: Amir
authors.initials: A
authors.lastname: Aghaeeaghdam
keywords: Chevron osteotomy; Hallux valgus; McBride procedure; Scarf osteotomy