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Outcomes of Scarf and Akin Osteotomy with Intra-Articular Stepwise Lateral Soft Tissue Release for Correcting Hallux Valgus Deformity in Rheumatoid Arthritis

Author

Listed:
  • Takumi Matsumoto

    (Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo 113-8655, Japan)

  • Yuji Maenohara

    (Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo 113-8655, Japan)

  • Song Ho Chang

    (Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo 113-8655, Japan)

  • Kumiko Ono

    (Department of Joint Surgery, Research Hospital, The Institute of Medical Science, The University of Tokyo, Minato-ku, Tokyo 108-8639, Japan)

  • Yasunori Omata

    (Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo 113-8655, Japan)

  • Jun Hirose

    (JCHO Tokyo Shinjuku Medical Center, Department of Orthopaedic Surgery, Shinjuku-ku, Tokyo 162-8543, Japan)

  • Sakae Tanaka

    (Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo 113-8655, Japan)

Abstract

Background. The effectiveness of scarf and Akin osteotomy with intra-articular lateral soft tissue release for the correction of hallux valgus (HV) in patients with rheumatoid arthritis (RA) has not been elucidated. Methods. A total of 36 feet in 28 patients with RA who had scarf and Akin osteotomy with intra-articular stepwise lateral soft tissue release between 2015 and 2020 at a single institute were investigated retrospectively, with a mean follow-up period of 32.0 ± 16.9 months. Radiographic evaluations including the HV angle, intermetatarsal angle, and sesamoid position were performed preoperatively and postoperatively. Clinical outcomes were assessed using the Japanese Society of Surgery of the Foot (JSSF) hallux scale and self-administered foot evaluation questionnaire (SAFE-Q). Results. The procedure resulted in significant HV correction, with a recurrence rate of 13.9%. The JSSF scale and all five SAFE-Q subscale scores significantly improved ( p < 0.05), with no major complications. More than 90% of cases achieved adequate lateral soft tissue release without sacrificing the adductor tendon of the hallux. Conclusions. Intra-articular stepwise lateral soft tissue release in combination with scarf and Akin osteotomy provided satisfactory radiographic and patient-reported outcomes for the correction of HV in patients with RA with minimum lateral soft tissue release.

Suggested Citation

  • Takumi Matsumoto & Yuji Maenohara & Song Ho Chang & Kumiko Ono & Yasunori Omata & Jun Hirose & Sakae Tanaka, 2021. "Outcomes of Scarf and Akin Osteotomy with Intra-Articular Stepwise Lateral Soft Tissue Release for Correcting Hallux Valgus Deformity in Rheumatoid Arthritis," IJERPH, MDPI, vol. 18(20), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10667-:d:654087
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    References listed on IDEAS

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    1. Koichiro Yano & Katsunori Ikari & Haruki Tobimatsu & Ayako Tominaga & Ken Okazaki, 2021. "Joint-Preserving Surgery for Forefoot Deformities in Patients with Rheumatoid Arthritis: A Literature Review," IJERPH, MDPI, vol. 18(8), pages 1-13, April.
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    Cited by:

    1. Koichiro Yano & Katsunori Ikari, 2022. "Outcomes of Joint-Preserving Surgery for Rheumatoid Forefoot Deformity: An Editorial," IJERPH, MDPI, vol. 19(4), pages 1-3, February.

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