{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T08:58:02Z","timestamp":1788857882465,"version":"build-2803163510"},"reference-count":17,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2011,5,1]],"date-time":"2011-05-01T00:00:00Z","timestamp":1304208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> The Scarf valgus inducing osteotomy of the calcaneus is an operative technique to correct varus deformity of the hindfoot. It is versatile with significant corrective power; however, the neurovascular structures are in close proximity on the medial side and thus may be harmed during the osteotomy. Moreover, because this type of osteotomy can cause a great lateral translation, traction of the medial neurovascular structures is possible. We performed an anatomic study to evaluate the medial soft tissues after a lateralizing Scarf-type calcaneal osteotomy. <\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods:<\/jats:title><jats:p> The osteotomies were carried out on ten fresh-frozen cadaver specimens. We performed the osteotomy and induced valgus. Then we performed a medial dissection to identify the important medial structures: the medial and lateral plantar nerve (MPN, LPN) and the posterior tibial artery (PTA). We noted their relation to the osteotomy and their integrity. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> In several cases, one or more of the structures were sectioned. In five cases, all the structures crossed the osteotomy, four of which even a transection of one or both of the plantar nerves occurred. Although the PTA crossed the osteotomy in eight specimens, there was no transection of this structure. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Scarf osteotomy of the calcaneus is a highly corrective osteotomy. However, caution must be exercised when performing as the medial neurovascular structures cross the osteotomy lines and transection can occur. <\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Relevance:<\/jats:title><jats:p> When performing the osteotomy one should keep in mind that vigorous sawing and large displacement can cause damage to the medial neurovascular structures. <\/jats:p><\/jats:sec>","DOI":"10.3113\/fai.2011.0540","type":"journal-article","created":{"date-parts":[[2011,7,18]],"date-time":"2011-07-18T18:52:53Z","timestamp":1311015173000},"page":"540-544","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Relationship of the Scarf Valgus-Inducing Osteotomy of the Calcaneus to the Medial Neurovascular Structures"],"prefix":"10.1177","volume":"32","author":[{"given":"Katrien","family":"Vermeulen","sequence":"first","affiliation":[{"name":"Antwerpen, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Neven","sequence":"additional","affiliation":[{"name":"Antwerpen, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffroy","family":"Vandeputte","sequence":"additional","affiliation":[{"name":"Antwerpen, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Van Glabbeek","sequence":"additional","affiliation":[{"name":"Antwerpen, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Somville","sequence":"additional","affiliation":[{"name":"Antwerpen, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,5,1]]},"reference":[{"key":"bibr1-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0044"},{"key":"bibr2-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0329"},{"key":"bibr3-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.41B1.80"},{"key":"bibr4-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200706"},{"key":"bibr5-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B6.7195"},{"key":"bibr6-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1097\/BTF.0b013e318"},{"key":"bibr7-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0258"},{"key":"bibr8-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0024"},{"key":"bibr9-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2005.04.005"},{"key":"bibr10-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.59B2.873985"},{"key":"bibr11-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800404"},{"key":"bibr12-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602700213"},{"key":"bibr13-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200104"},{"key":"bibr14-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-7515(03)00112-8"},{"key":"bibr15-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1097\/BTF.0b013e31819a06c2"},{"key":"bibr16-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B1.11847"},{"key":"bibr17-FAI.2011.0540","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(01)80085-5"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3113\/FAI.2011.0540","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.3113\/FAI.2011.0540","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3113\/FAI.2011.0540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T15:24:20Z","timestamp":1741620260000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.3113\/FAI.2011.0540"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,5]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011,5]]}},"alternative-id":["10.3113\/FAI.2011.0540"],"URL":"https:\/\/doi.org\/10.3113\/fai.2011.0540","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5]]}}}