The Foot and Ankle Clinic

Bunion or Hallux valgus

Hallux valgus (bunion) | How does a bunion or hallux valgus occur? (explain my condition to me?) | Where, why and when might I expect to get bunion or hallux valgus pain? | Why do bunions occur? | Do bunions or hallux valgus get worse? | What treatments are available for bunions or hallux valgus? | If I have a bunion or hallux valgus is the best treatment surgery? | Bunion surgery - when and what? | Bunion surgery | Bunion surgery at the clinic | Additional procedures may be necessary | Can the big toe joint(mtp) always be left mobile? | If I leave my bunion for now and it gets much worse will you still be able to do something? | My bunion is not so painful now but I don't want to end with feet like my grandma's | Minimising symptoms after bunion or hallux valgus surgery | Bunion operations - the scarf osteotomy | The scarf osteotomy-animation | Operative stills- the scarf osteotomy | Operative stills-the Arthrex Basal plate | Pre and post operative images of bunion surgery | After the bunion or hallux valgus operation | Complications of bunion or hallux valgus surgery


The Scarf Osteotomy

Before and after-The Scarf osteotomy

The Scarf osteotomy for bunion correction

The scarf osteotomy is a way of dividing the 1st metatarsal in a Z-shape fashion to allow the metatarsal to be accurately moved , then fixed stably, thus correcting the bunion.

How cutting and moving the bone in this way can narrow the wide space between the 1st and 2nd metatarsals in bunion surgery is probably best illustrated by the following animation:

The Scarf osteotomy animation

The Scarf osteotomy  (3.8MB)     Download movie  (3.5MB)

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