{"id":3465,"date":"2014-03-05T10:51:05","date_gmt":"2014-03-05T10:51:05","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/en\/?p=3465"},"modified":"2016-10-24T07:05:55","modified_gmt":"2016-10-24T07:05:55","slug":"scarf-technique-for-the-treatment-of-hallux-valgus","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/en\/scarf-technique-for-the-treatment-of-hallux-valgus\/","title":{"rendered":"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS"},"content":{"rendered":"<div style=\"text-align: justify;\">\n<p>The Scarf technique or in inverted Z is nowadays one of the most used techniques for the correction of the well-known \u201cbunions\u201d. The reason this technique is one of the most used is because of the great number of advantages this osteotomy provides:<\/p>\n<ul>\n<li>Moderate \u2013 severe Hallux Valgus (intermetatarsal angle between 12\u00ba &#8211; 20\u00ba).<\/li>\n<li>Pain as a reason for the first visit.<\/li>\n<li>Enough osseous quality to support osteotomies and synthesis.<\/li>\n<li>Well-kept articular state (the metatarsophalangeal joint doesn\u2019t have arthrosis) and with possibilities of being improved after the articular reorientation.<\/li>\n<li>Osteotomy with a good intrinsic stability which allows the patient to put weight on his foot from the outset. The movement of the osteotomy avoids the key points of blood supply that reach the metatarsal.<\/li>\n<\/ul>\n<p>The complications this technique has are:<\/p>\n<ul>\n<li>Avascular necrosis from the head of first metatarsal.<\/li>\n<li>Pseudarthrosis.<\/li>\n<li>Fracture of first metatarsal.<\/li>\n<li>Troughing effect with elevation.<\/li>\n<li>Infection.<\/li>\n<li>Hypocorrection (the most common).<\/li>\n<\/ul>\n<p>Once the capsulotomy and the bunionectomy have been made, the performance of this technique consists of making a longitudinal cut in the diaphysis of the metatarsal from the distal-dorsal to the proximal-plantar, this inclination of the cut to plantar being very important because it will allow the fall of the metatarsal head. To perform this cut we use as a guide two Kirschnner needles laid parallel to the axis of the floor and not to the axis of the metaldiaphysis. The Scarf technique or in inverted Z, is nowdays, one of the most used techniques for the correction of the so-called bunions. The reason this technique is one of the most used is because of the great number of advantages this osteotometatarsal has. When this cut is made, we make another dorsal distal cut and another proximal plantar cut, both of which are parallel and with a 60\u00ba angle.<\/p>\n<p>When we get to this stage, we can move the cephalic fragment to decrease the intermetatarsal angle. The displacement can be up to three quarters of the metatarsal surface. When we have got the result we want, we only have to fix the osteotomies with the chosen osteosynthesis. This is usually with two parallel screws and perpendicular to the diaphysis or one proximal, from dorsal to plantar, perpendicular to the diaphysis and the another pointing towards the distal with an inclination of 45\u00baa and which\u00a0 finishes in the metatarsal head.<\/p>\n<p>When the osteotomy is fixed in place, we resect the remains of the bone in the medial zone as a consequence of the metatarsal displacement. Finally, we suture the incisions by planes and we make a crossbreed bandage of the front part of the foot.<\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/016.jpg\"><img  title=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1182\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/016.jpg\"  alt=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\"  width=\"540\" height=\"405\" \/><\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/027.jpg\"><img  title=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1183\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/027.jpg\"  alt=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\"  width=\"540\" height=\"405\" \/><\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/035.jpg\"><img  title=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1184\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/035.jpg\"  alt=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\"  width=\"540\" height=\"405\" \/><\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/043.jpg\"><img  title=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1185\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/043.jpg\"  alt=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\"  width=\"540\" height=\"405\" \/><\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/052.jpg\"><img  title=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1186\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/052.jpg\"  alt=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\"  width=\"540\" height=\"405\" \/><\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/06.jpg\"><img  title=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1187\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/06.jpg\"  alt=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\"  width=\"540\" height=\"405\" \/><\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/071.jpg\"><img  title=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1188\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/071.jpg\"  alt=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\"  width=\"540\" height=\"405\" \/><\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/081.jpg\"><img  title=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1189\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/081.jpg\"  alt=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\"  width=\"540\" height=\"405\" \/><\/a><\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/091.jpg\"><img  title=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\" loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1192\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/091.jpg\"  alt=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\"  width=\"506\" height=\"343\" \/><\/a><\/p>\n<div id=\"attachment_1193\" style=\"width: 516px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/101.jpg\"><img  title=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1193\" class=\" wp-image-1193\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/101.jpg\"  alt=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\"  width=\"506\" height=\"343\" \/><\/a><p id=\"caption-attachment-1193\" class=\"wp-caption-text\">Setting the osteotomies with the chosen osteosynthesis, being usually with two parallel screws and perpendicular to the diaphysis, from dorsal to plantar.<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The Scarf technique or in inverted Z is nowadays one of the most used techniques for the correction of the well-known \u201cbunions\u201d. The reason this technique is one of the most used is because of the great number of advantages this osteotomy provides: Moderate \u2013 severe Hallux Valgus (intermetatarsal angle between 12\u00ba &#8211; 20\u00ba). Pain [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":3665,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[285],"tags":[],"class_list":["post-3465","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-podiatric-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"The Scarf technique or in inverted Z is nowadays one of the most used techniques for the correction of the well-known \u201cbunions\u201d. The reason this technique is one of the most used is because of the great number of advantages this osteotomy provides: Moderate \u2013 severe Hallux Valgus (intermetatarsal angle between 12\u00ba &#8211; 20\u00ba). Pain [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/old.institutcataladelpeu.com\/en\/scarf-technique-for-the-treatment-of-hallux-valgus\/\" \/>\n<meta property=\"og:site_name\" content=\"Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/institutcataladelpeu\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-03-05T10:51:05+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-10-24T07:05:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/035.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"405\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:site\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/scarf-technique-for-the-treatment-of-hallux-valgus\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/scarf-technique-for-the-treatment-of-hallux-valgus\\\/\"},\"author\":{\"name\":\"Miguel \u00c1ngel Ba\u00f1os Bernad\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#\\\/schema\\\/person\\\/d2ccc8088f9445f3e2758c2a60caf354\"},\"headline\":\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS\",\"datePublished\":\"2014-03-05T10:51:05+00:00\",\"dateModified\":\"2016-10-24T07:05:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/scarf-technique-for-the-treatment-of-hallux-valgus\\\/\"},\"wordCount\":470,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/scarf-technique-for-the-treatment-of-hallux-valgus\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/wp-content\\\/uploads\\\/2014\\\/03\\\/035.jpg\",\"articleSection\":[\"Podiatric Surgery\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/scarf-technique-for-the-treatment-of-hallux-valgus\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/scarf-technique-for-the-treatment-of-hallux-valgus\\\/\",\"url\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/scarf-technique-for-the-treatment-of-hallux-valgus\\\/\",\"name\":\"SCARF TECHNIQUE FOR THE TREATMENT OF HALLUX VALGUS - 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The reason this technique is one of the most used is because of the great number of advantages this osteotomy provides: Moderate \u2013 severe Hallux Valgus (intermetatarsal angle between 12\u00ba &#8211; 20\u00ba). 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Posseeix els t\u00edtols de M\u00e0ster i Postgrau en Cirurgia Podol\u00f2gica (UB), Postgrau en Biomec\u00e0nica (UB) i Llicenciatura en Antropologia. Condecorat amb la Gran Creu al M\u00e8rit Acad\u00e8mic atorgada per la AICT el 2011.","url":"https:\/\/old.institutcataladelpeu.com\/en\/author\/icp\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/old.institutcataladelpeu.com\/en\/wp-json\/wp\/v2\/posts\/3465","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/old.institutcataladelpeu.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/old.institutcataladelpeu.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/old.institutcataladelpeu.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/old.institutcataladelpeu.com\/en\/wp-json\/wp\/v2\/comments?post=3465"}],"version-history":[{"count":0,"href":"https:\/\/old.institutcataladelpeu.com\/en\/wp-json\/wp\/v2\/posts\/3465\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/old.institutcataladelpeu.com\/en\/wp-json\/wp\/v2\/media\/3665"}],"wp:attachment":[{"href":"https:\/\/old.institutcataladelpeu.com\/en\/wp-json\/wp\/v2\/media?parent=3465"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/old.institutcataladelpeu.com\/en\/wp-json\/wp\/v2\/categories?post=3465"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/old.institutcataladelpeu.com\/en\/wp-json\/wp\/v2\/tags?post=3465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}