Ever more common procedure for Hallux Valgus correction

Ever more common procedure for Hallux Valgus correction (particularly amongst F&A community)

• Ever more common procedure for Hallux Valgus correction (particularly amongst F&A community)

• Patients frequently ask success rates in clinic before committing to surgery

• To examine the role of Akin osteotomy

• To audit outcomes of Senior surgeons practice

Junior author identified all patients undergoing Scarf osteotomy in NHS (CRH) April 2008-Mar 2010

• Junior author identified all patients undergoing Scarf osteotomy in NHS (CRH) April 2008-Mar 2010

• Patients contacted via telephone numbers registered in PAS system

• Asked a simple questionnaire of 4 questions (see next slide)

• Results recorded using Microsoft Excel

Q1. degree of satisfaction

• Q1. degree of satisfaction

• How satisfied are you with the surgery you have had for your bunion? (Very satisfied- satisfied-neutral- unsatisfied – very unsatisfied)

• Q2.if the other foot

• If you had the same problem with a painful bunion on the other foot would you have the same surgery on that foot ?

• Q3.if a friend or a relative

• Would you recommend the surgery to a friend who had a similar problem with a bunion?

• Q4.complications

• Have you had any complication from this surgery?

April 2008-Mar 2010

• April 2008-Mar 2010

• Total patients identified = 64
• 83 scarfs in 64 patients ( 19 bilateral)
• Total patients contactable = 42
• 53 scarfs in 42 patients (11 bilateral)
• Age range 17 – 89years ( mean age = 52 )
• F: M = 54:10 = 5.4 : 1
• Number of Akin + Scarf = 30 (36%)

• Results

Q 3: recommending the surgery

• Infection

• 3 (superficial)
• All resolved at 2 weeks with oral antibiotics

• No Chronic regional pain syndrome

>83% patients are satisfied with surgery at CRH in this single surgeon series

• >83% patients are satisfied with surgery at CRH in this single surgeon series

• Only 2 patients were unsatisfied(4.7%)

• 88 % would recommend this procedure to a friend or undergo it again

• >95% were either very satisfied, satisfied or neutral

• Reproducible operation

• Powerful 3D correction in right hands

• Minimal complications consistent with other forms of corrective osteotomy

Scarf procedure is successful , safe and reproducible correction of Hallux Valgus

• Scarf procedure is successful , safe and reproducible correction of Hallux Valgus

• >83% of CRH / HRI patients satisfied with this surgery in this single surgeon series

• It can take 9-12 months for patients to fully recover from forefoot surgery, particularly swelling

With thanks to PAS office, SWS secretary , audit department and enquiry desk for their help in collecting and presenting this data

• With thanks to PAS office, SWS secretary , audit department and enquiry desk for their help in collecting and presenting this data