{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:43:29Z","timestamp":1788281009891,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,2,15]],"date-time":"2010-02-15T00:00:00Z","timestamp":1266192000000},"content-version":"vor","delay-in-days":45,"URL":"http:\/\/creativecommons.org\/licenses\/by\/2.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2010,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Cochrane review of hallux valgus surgery has disputed the scientific validity of hallux valgus research. Scoring systems and surrogate measures such as x\u2010ray angles are commonly reported at just one year post operatively but these are of dubious relevance to the patient. In this study we extended the follow up to a minimum of 8 years and sought to address patient specific concerns with hallux valgus surgery. The long term follow up also allowed a comprehensive review of the complications associated with the combined rotation scarf and Akin osteotomies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 1996 and 1999, 101 patients underwent rotation scarf and Akin osteotomies for the treatment of hallux valgus. All patients were contacted and asked to participate in this study. 50 female participants were available allowing review of 73 procedures. The average follow up was over 9 years and the average age at the time of surgery was 57. The participants were physically examined and interviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Post\u2010operatively, in 86% of the participants there were no footwear restrictions. Stiffness of the first metatarsophalangeal joint was reported in 8% (6\u00a0feet); 10% were unhappy with the cosmetic appearance of their feet, 3\u00a0feet had hallux varus, and 2\u00a0feet had recurrent hallux valgus. There were no foot\u2010related activity restrictions in 92% of the group. Metatarsalgia occurred in 4% (3\u00a0feet). 96% were better than before surgery and 88% were completely satisfied with their post\u2010operative result. Hallux varus was the greatest single cause of dissatisfaction. The most common adverse event in the study was internal fixation irritation. Hallux valgus surgery is not without risk and these findings could be useful in the informed consent process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>When combined the rotation scarf and Akin osteotomies are an effective treatment for hallux valgus that achieves good long\u2010term correction with a low incidence of recurrence, footwear restriction or metatarsalgia. The nature of the osteotomies allows early return to normal shoes and activity without the need for postoperative immobilisation in a plaster cast.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/1757-1146-3-2","type":"journal-article","created":{"date-parts":[[2010,2,16]],"date-time":"2010-02-16T02:16:43Z","timestamp":1266286603000},"source":"Crossref","is-referenced-by-count":63,"title":["Combined rotation scarf and Akin osteotomies for hallux valgus: a patient focussed 9 year follow up of 50 patients"],"prefix":"10.1002","volume":"3","author":[{"given":"Timothy E","family":"Kilmartin","sequence":"first","affiliation":[{"name":"Department of Podiatric Surgery Derbyshire County Primary Care Trust Ilkeston Hospital Heanor Road DE7 8LN Ilkeston Derbyshire UK"},{"name":"Hillsborough Private Clinic, Hillsborough BT26 6AE Co Down Northern Ireland UK"},{"name":"North West Independent Hospital Ballykelly BT49 9HS Co Derry Northern Ireland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"O'Kane","sequence":"additional","affiliation":[{"name":"Hillsborough Private Clinic, Hillsborough BT26 6AE Co Down Northern Ireland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,2,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","unstructured":"FerrariJ HigginsJP PriorTD: Interventions for treating hallux valgus (abductovalgus) and bunions (Cochrane Review).Cochrane Database of Systematic Reviews.2004 CD000964\u20101","DOI":"10.1002\/14651858.CD000964.pub2"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.19.2474"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002640100289"},{"key":"e_1_2_8_5_1","first-page":"4","article-title":"Critical Review: The surgical management of Hallux valgus","volume":"9","author":"Kilmartin TE","year":"2006","journal-title":"Br J Podiatry"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0958259202000329"},{"key":"e_1_2_8_7_1","first-page":"609","article-title":"Modified scarf bunionectomy: our experience in more than 1000 cases","volume":"30","author":"Borelli AH","year":"1991","journal-title":"J Foot Ankle Surg"},{"key":"e_1_2_8_8_1","first-page":"559","article-title":"Scarf osteotomy for correction of hallux valgus:historical perspective, surgical technique and results","volume":"5","author":"Weil LS","year":"2000","journal-title":"Foot Ankle Clin"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.7547\/87507315\u201079\u20107\u2010322"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.7547\/87507315\u201074\u20101\u201013"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.86B6.15000"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2007.05.002"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0537"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2008.02.021"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302400711"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2006.10.001"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0529"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300306"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-002-0413-x"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102201208"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.7547\/87507315\u201082\u20107\u2010352"},{"key":"e_1_2_8_22_1","first-page":"185","article-title":"Hallux abductus measurement. 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