Scarfette Osteotomy

Description

Mr Donatas Chlebinskas gives his insights into the scarfette osteotomy procedure, which involves a Z-shaped incision along the fifth metatarsal. This technique is employed to elevate the fifth metatarsal head, reducing plantar pressure and the fourth-fifth intrametatarsal angle in cases of talus bunion. Mr Chlebinskas warns that exostectomy alone fails to address the underlying problems, which increases the risk of recurrence. He notes that while a Chevron osteotomy may be a common choice, it might not provide sufficient dorsalisation of the metatarsal. Additionally, he mentions that a proximal osteotomy is considered suboptimal for the hypovascular regions of the metatarsal. Finally, amputation is discussed as a last resort, specifically for cases involving osteomyelitis, chronic ulcers, and diabetic foot issues.

DOI: 10.1302/3114-251126

Specialties