SCARF osteotomy for hallux valgus at another institution.

These are the X rays of a 68 year-old active female who underwent SCARF osteotomy for hallux valgus at another institution.
How would you treat❓

About 1 year after surgery, she developed progressive foot pain without any history of new trauma. She underwent multiple consultations and several nerve block injections, but her symptoms continued.

▪️Now, 4 years after the initial surgery, she presents with severe, debilitating foot pain and marked restriction of motion, around the 1st metatarsophalangeal joint.

?Her pain progressed significantly, especially around the midfoot, and for the last 6 months she has required elbow crutches for walking.

❓ How would you approach this case?

Thomas A. McDonald, MD FAAOS Tyler Gonzalez, MD, MBA, FAAOS Luis Sánchez-Robles, DPM, FACFAS, FAMOS, FASPS Walter Strash DPM, FACFAS Alan Yan Paulo Carvalho MD, PhD Pavel Mukherjee Dr. Marque A. Allen,DPM, FACFAS Jan S. Sean Campbell, MD Jordan Sisto, DPM, FACFAS Richard Freeman

#RevisionSurgery #FootAndAnkleSurgery #OrthopaedicSurgery
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