Scarf vs Lapidus for moderate hallux valgus: the DMAA debate
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OrthoVellum Editorial · 7d ago
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Two-panel foot photographs showing hallux valgus pre and post operative correction — Credit: Baba AN et al. via Indian J Orthop (Open-i (NIH)), CC BY
The Lapidus procedure has seen a resurgence for hallux valgus, offering first TMTJ fusion and powerful correction at the apex of the deformity. But for an elevated DMAA some argue a distal or biplanar osteotomy addresses the articular angle more directly, while comparative data show higher non-union rates and longer recovery for Lapidus than for a Scarf osteotomy. For a 45-year-old woman with an intermetatarsal angle of 14 degrees and a moderately elevated DMAA, are you fusing or still osteotomising?
