Background
A prospective randomized controlled comparative trial formulated to compare modified Wilson’s osteotomy and scarf osteotomy in treatment of cases of hallux valgus deformity in terms of operative time, functional, radiological outcomes, and complications.
Methods
Forty cases with hallux valgus were divided randomly into 2 groups; 37 reached the final follow-up (18 underwent scarf and 19 underwent modified Wilson’s osteotomy), average age 37.34 years. Average follow-up period was 24.13 months. Patients were assessed clinically and radiologically, in addition to preoperative and postoperative functional scoring system of American College of Foot and Ankle Surgeons (ACFAS).
Results
Operative time was 64.91 min in the scarf group compared to 65.63 min in the modified Wilson’s group; x-ray evaluation showed no statistically significant difference between both groups. ACFAS score showed functional improvement in both groups but the improvement was superior in the modified Wilson group 71.17% compared to the scarf group 59.23%.
Conclusions
Both modified Wilson’s and scarf osteotomies showed nearly same efficacy regarding correction of deformity of the intermetatarsal angle and comparable results clinically but somewhat shorter operative time for the scarf group and personal impression of technical simplicity for the modified Wilson’s osteotomy