ArticleCureus2026
One-Year Comparative Outcomes of Scarf/Akin Osteotomy Versus Modified Lapidus Procedure in the Correction of Moderate to Severe Hallux Valgus.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
backgroundHallux valgus is a common forefoot deformity. Both Scarf/Akin osteotomy and the modified Lapidus procedure (MLP) are established surgical options for moderate to severe cases, but few studies directly compare outcomes.
methodsA retrospective cohort study of patients undergoing Scarf/Akin osteotomy or MLP between 2019 and 2020 was performed. Patient-reported outcomes (Manchester Oxford Foot Questionnaire (MOXFQ), Foot and Ankle Outcome Scores (FAOS), EQ-5D-5L) and radiographic measures (hallux valgus angle (HVA), intermetatarsal angle (IMA)) were compared at a minimum 12-month follow-up.
resultsThirty-one patients were included (22 Scarf/Akin, nine MLP; mean age 58 years; 23 female patients). Patients in the Scarf group reported less difficulty with walking/standing (MOXFQ, p = 0.042) and higher activities of daily living (FAOS ADL, p = 0.049). EQ-5D demonstrated trends toward fewer mobility and self-care problems in Scarf patients, but differences were not statistically significant. Radiographically, MLP achieved greater correction of HVA (p = 0.011) and IMA (p < 0.001).
conclusionBoth procedures significantly improved outcomes at one year. Scarf/Akin osteotomy was associated with better short-term functional recovery, while MLP achieved superior radiographic correction. Procedure choice may be individualized based on patient factors and deformity severity.
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