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Austin Bunion Experts: Bunions – The Surgical Options Part 4 – The Scarf Bunionectomy

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           Fashionable, tight fitting shoes are becoming more and more popular, thus we are seeing a higher prevalence of bunions each day amongst our patients. In our Austin Foot and Ankle Bunion series, we've discussed various options to correct bunions. Our goal is to help you find the corrective procedure that is best suited for your “bunion type”. As seen in our earlier blogs (Parts 1, 2, and 3) we have mentioned a few surgical options to treat your bunion, but we wanted to extend the series for an additional surgical option towards treating your bunion, called The Scarf Bunionectomy.

            The Scarf Bunionectomy has been used as a corrective procedure for more extensive deformities, especially when additional complications have arisen from the bunion. The Scarf Bunionectomy is a unique procedure that received its name due to the “Z” shaped cut that is made along the side of the first metatarsal. The “Scarf” is referring to the carpentry Z-shaped cut into wood blocks in order to fuse two pieces of wood together, thus creating a tighter fit. The z-shaped cut starts before the head of the first metatarsal, then along the shaft and finally ends prior to the base, which splits the bone into two pieces. Once the cut has been made, the bottom portion is shifted laterally until it is aligned with the first toe and places the first metatarsophalangeal joint in the correct position. Then the two bones are fixated to each other by screws and further modified by trimming the edges, so that the bone heals uniformly.

 

           I had the unique opportunity to do my Foot and Ankle Surgical Fellowship with Dr. Lowell Scott Weil, Sr., whom helped to refine and popularize this specific surgical surgery (among other foot procedures). This allowed for me to master the techniques for success using the Scarf Bunionectomy. Both myself and Dr. Craig H. Thomajan DPM, FACFAS now employ and incorporate this procedure as an option for our patients.

            You may be wondering, what are the benefits of the Scarf bunionectomy? Well, this specific procedure allows us to correct for any length differences by either elongating or shortening the first toe. In addition, this surgical option has showed incredible success towards maintaining a full range of motion at the toe joint when compared to the other surgical bunionectomy options. The surgery is primarily focused on correcting your bunion, but we take immense care in repairing the surrounding ligaments and supporting structures within and around the joint.

More Importantly, Our Goal Is To Get You Active On Your Feet, Without Those Bunions!!

 

Check out the Links below to see the Published Research I had Performed on The Scarf Bunionectomy

http://www.weil4feet.com/research/publications/scarf-osteotomy-adolescent-hallux-valgus-treatment.pdf

http://fas.sagepub.com/content/3/1/10.abstract

 

The Scarf Bunionectomy Animation:

http://www.youtube.com/watch?feature=endscreen&NR=1&v=Zi_NGm8awC0

 

Dr. Shine John, DPM, FACFAS
Podiatric Physician, Surgeon, Specialist at Austin Foot and Ankle Specialists
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