Impact of combining medial capsule interposition with modified scarf osteotomy for hallux valgus

Ebina, Kosuke; Hirao, Makoto; Tsuboi, Hideki; Kaneshiro, Shoichi; Nishikawa, Masataka; Goshima, Atsushi; Noguchi, Takaaki; Nakaya, Hiroyuki; Etani, Yuki; Miyama, Akira; Takami, Kenji; Hashimoto, Jun; Yoshikawa, Hideki

doi:https://doi.org/10.1080/14397595.2019.1572261

Impact of combining medial capsule interposition with modified scarf osteotomy for hallux valgus

Ebina, Kosuke; Hirao, Makoto; Tsuboi, Hideki et al.

Modern Rheumatology, 2020, 30(1), 204-210

Number of Access:1,441（2025-09-03 11:38 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/93252

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Title	Impact of combining medial capsule interposition with modified scarf osteotomy for hallux valgus
Creator	NRID 1000070612076 1000070612076 researchmap permalink k-ebina k-ebina Scopus Author ID 8415453300 8415453300 ORCID 0000-0002-2426-1024 0000-0002-2426-1024 CreatorName Ebina, Kosuke
	NRID 1000010527708 1000010527708 CreatorName Hirao, Makoto
	CreatorName Tsuboi, Hideki
	CreatorName Kaneshiro, Shoichi
	CreatorName Nishikawa, Masataka
	CreatorName Goshima, Atsushi
	CreatorName Noguchi, Takaaki
	CreatorName Nakaya, Hiroyuki
	NRID 1000060898930 1000060898930 CreatorName Etani, Yuki
	CreatorName Miyama, Akira
	CreatorName Takami, Kenji
	NRID 1000040237938 1000040237938 CreatorName Hashimoto, Jun
	NRID 1000060191558 1000060191558 CreatorName Yoshikawa, Hideki
Subject	Hallux valgus
	interposition arthroplasty
	modified scarf osteotomy
Description	Ebina K., Hirao M., Tsuboi H., et al. Impact of combining medial capsule interposition with modified scarf osteotomy for hallux valgus. Modern Rheumatology 30, 204 (2020); https://doi.org/10.1080/14397595.2019.1572261.
Abstract	Objectives: To clarify the effect of combining medial capsule interposition with modified scarf osteotomy for hallux valgus. Methods: A multicenter, retrospective study included 64 cases [59 osteoarthritis patients (excluding rheumatoid arthritis); age 68.8 years, range 40–93 years] of modified scarf osteotomy which were performed from 2013 to 2017 and followed for 26.6 (range, 13–50) months. Patients were treated by either (1) without medial capsule interposition (33 cases) or (2) combined with interposition (31 cases) at each senior surgeon’s discretion. The Japanese Society for Surgery of the Foot (JSSF) hallux metatarsophalangeal (MTP)-interphalangeal scale was evaluated along with radiographic parameters (hallux valgus angle [HVA], first and second metatarsals intermetatarsal angles, and Hardy grade). Results: All JSSF scale and radiographic parameters were similar at baseline and significantly improved at final follow-up in both groups (pre-operation vs. final follow-up: p <.001). However, compared to without interposition group, interposition group showed significantly higher improvement in the JSSF scale (pre-operation to final follow-up: p value between the two groups at final follow-up) for pain (without interposition: 19.4–34.2, interposition: 18.4–37.1; p =.02), function (without interposition: 20.8–33.6, interposition: 18.3–36.6; p =.005), total score (without interposition: 41.5–81.8, interposition: 38.5–88.5; p <.001), and the MTP joint space (without interposition: 1.4–1.5 mm, interposition: 1.6–2.6 mm; p <.001) with significant correlation between the total JSSF score (r =.40; p =.001). Conclusion: Combining medial capsule interposition with modified scarf osteotomy significantly improved mid-term clinical outcomes.
Publisher	Taylor and Francis Ltd
Source Title	Modern Rheumatology
Volume (Issue)	30(1)
Page	204-210
Date of Issued	2020-01-02
Language	English
Handle URL	https://hdl.handle.net/11094/93252
PISSN	14397595
eISSN	14397609
Relation.isVersionOf	DOI (Publisher Version) https://doi.org/10.1080/14397595.2019.1572261
Access Rights	open access
CopyRight	This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
oaire:version	Accepted Manuscript
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCMI Type	Text
DCTERMS.bibliographicCitation	Modern Rheumatology. 2020, 30(1), p. 204-210
DC.title	Impact of combining medial capsule interposition with modified scarf osteotomy for hallux valgus
DC.creator	Ebina, Kosuke
	Hirao, Makoto
	Tsuboi, Hideki
	Kaneshiro, Shoichi
	Nishikawa, Masataka
	Goshima, Atsushi
	Noguchi, Takaaki
	Nakaya, Hiroyuki
	Etani, Yuki
	Miyama, Akira
	Takami, Kenji
	Hashimoto, Jun
	Yoshikawa, Hideki
DC.publisher	Taylor and Francis Ltd
DC.language' scheme='DCTERMS.RFC1766	English
DC.type' scheme='DCTERMS.DCMIType	Text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2020-01-02
DC.identifier	https://doi.org/10.1080/14397595.2019.1572261
DC.subject	Hallux valgus
	interposition arthroplasty
	modified scarf osteotomy
DC.description	Ebina K., Hirao M., Tsuboi H., et al. Impact of combining medial capsule interposition with modified scarf osteotomy for hallux valgus. Modern Rheumatology 30, 204 (2020); https://doi.org/10.1080/14397595.2019.1572261.
DCTERMS.abstract	Objectives: To clarify the effect of combining medial capsule interposition with modified scarf osteotomy for hallux valgus. Methods: A multicenter, retrospective study included 64 cases [59 osteoarthritis patients (excluding rheumatoid arthritis); age 68.8 years, range 40–93 years] of modified scarf osteotomy which were performed from 2013 to 2017 and followed for 26.6 (range, 13–50) months. Patients were treated by either (1) without medial capsule interposition (33 cases) or (2) combined with interposition (31 cases) at each senior surgeon’s discretion. The Japanese Society for Surgery of the Foot (JSSF) hallux metatarsophalangeal (MTP)-interphalangeal scale was evaluated along with radiographic parameters (hallux valgus angle [HVA], first and second metatarsals intermetatarsal angles, and Hardy grade). Results: All JSSF scale and radiographic parameters were similar at baseline and significantly improved at final follow-up in both groups (pre-operation vs. final follow-up: p <.001). However, compared to without interposition group, interposition group showed significantly higher improvement in the JSSF scale (pre-operation to final follow-up: p value between the two groups at final follow-up) for pain (without interposition: 19.4–34.2, interposition: 18.4–37.1; p =.02), function (without interposition: 20.8–33.6, interposition: 18.3–36.6; p =.005), total score (without interposition: 41.5–81.8, interposition: 38.5–88.5; p <.001), and the MTP joint space (without interposition: 1.4–1.5 mm, interposition: 1.6–2.6 mm; p <.001) with significant correlation between the total JSSF score (r =.40; p =.001). Conclusion: Combining medial capsule interposition with modified scarf osteotomy significantly improved mid-term clinical outcomes.
DC.rights	This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
DC.format	93252
citation_title	Impact of combining medial capsule interposition with modified scarf osteotomy for hallux valgus
citation_author	Ebina, Kosuke
	Hirao, Makoto
	Tsuboi, Hideki
	Kaneshiro, Shoichi
	Nishikawa, Masataka
	Goshima, Atsushi
	Noguchi, Takaaki
	Nakaya, Hiroyuki
	Etani, Yuki
	Miyama, Akira
	Takami, Kenji
	Hashimoto, Jun
	Yoshikawa, Hideki
citation_publisher	Taylor and Francis Ltd
citation_language	English
citation_date	2020-01-02
citation_journal_title	Modern Rheumatology
citation_volume	30
citation_issue	1
citation_firstpage	204
citation_lastpage	210
citation_doi	https://doi.org/10.1080/14397595.2019.1572261
citation_public_url	https://hdl.handle.net/11094/93252

Impact of combining medial capsule interposition with modified scarf osteotomy for hallux valgus

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