Evidence map›Paper›PMID 40826349›Full record

ArticleBMC musculoskeletal disorders2025

Scarf osteotomy combined with akin osteotomy for the treatment of patients with moderate hallux valgus: a retrospective study combining plantar pressure testing and gait analysis.

Peng Lu, Songchuan Su, Xin Li, Liqi Ng, Xiaotian Xiong, Qiuping Zhang, Yusong Liu, Yu Zhou

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Peng Lu *Department of Foot and Ankle Surgery, Orthopedic Hospital, Chonqqing University of Chinese Medicine, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, Chongqing, China.
Songchuan Su *Department of Foot and Ankle Surgery, Orthopedic Hospital, Chonqqing University of Chinese Medicine, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, Chongqing, China.
Xin LiDepartment of Pharmacy, Orthopedic Hospital, Chonqqing University of Chinese Medicine, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, Chongqing, China.
Liqi NgInstitute of Orthopaedic and Musculoskeletal Science, University College London, Royal National Orthopaedic Hospital, Stanmore, London, HA7 4LP, UK.
Xiaotian XiongDepartment of Foot and Ankle Surgery, Orthopedic Hospital, Chonqqing University of Chinese Medicine, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, Chongqing, China.
Qiuping ZhangPostdoctoral Research Workstation, Orthopedic Hospital, Chonqqing University of Chinese Medicine, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, Chongqing, 400012, China.
Yusong LiuPostdoctoral Research Workstation, Orthopedic Hospital, Chonqqing University of Chinese Medicine, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, Chongqing, 400012, China. dr.liuyusong@163.com.
Yu ZhouPostdoctoral Research Workstation, Orthopedic Hospital, Chonqqing University of Chinese Medicine, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, Chongqing, 400012, China. zyhenry123@163.com.

Funding

Chongqing Traditional Chinese medical scientific research project (Joint project of Chongqing Health Commission and Science and Technology Bureau) 2022ZDXM038Chongqing Yuzhong District Basic Research and Frontier Exploration Project 20210142
6 · The paper itself

Abstract

backgroundHallux Valgus (HV) not only results in deformities in the appearance of the foot but also induces pain and difficulties in walking, significantly affecting the quality of life of patients. This study utilises three-dimensional (3D) scanners and wearable gait sensors to precisely measure foot arch indices, plantar pressure distribution, and gait parameters, aiming to comprehensively assess the efficacy of Scarf osteotomy in conjunction with Akin osteotomy, thus providing scientific evidence for clinical treatment.

methodsThis retrospective study comprised a cohort of 60 patients diagnosed with moderate HV who underwent a Scarf osteotomy in conjunction with an Akin osteotomy during the period from December 2021 to December 2022. Data collection and follow-up evaluations were conducted both preoperatively and at the 12-month postoperative mark. The primary observational parameters included the Hallux Valgus Angle (HVA), Intermetatarsal Angle (IMA), and Distal Metatarsal Articular Angle (DMAA). Clinical assessment measures encompassed the Visual Analogue Scale (VAS) and the Japanese Society for Surgery of the Foot (JSSF) HV scale. Additionally, foot arch parameters, gait cycle-related metrics, and plantar pressure distribution were obtained utilising 3D scanning technology and wearable sensor devices.

resultsAll patients underwent a minimum follow-up period of twelve months, with an average clinical healing duration of 8.20 weeks. Postoperatively, there was a significant reduction in the VAS score, alongside a significant increase in the JSSF score. The HVA, IMA, and DMAA angles all demonstrated significant improvement. Postoperatively, the foot arch index exhibited a decline, the step deviation angle was diminished, the midstance time percentage experienced an increase, and there was an enhancement in plantar pressure distribution. Patients expressed satisfaction with both the treatment outcomes and the aesthetic results.

conclusionThe combination of Scarf and Akin osteotomy significantly improved foot arch morphology and gait parameters in HV patients, effectively alleviating pain and enhancing walking stability.

Indexed as

Gait AnalysisHallux ValgusOsteotomyAdultFemaleGaitHumansMaleMiddle AgedPressureRetrospective StudiesTreatment Outcome3D scannersGait analysisHallux valgusScarf osteotomyWearable gait sensor systems

Identifiers

PMID40826349
PMCPMC12363092

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.