Procedure · Forefoot

Scarf & Akin Bunionectomy

The Scarf osteotomy is a versatile bunion correction that shifts the first metatarsal back into alignment, often combined with an Akin osteotomy of the great toe for fine-tuning.

Medically reviewed by Michael G. Lyons, DPM — Board-Certified Foot and Ankle Surgeon

Written and reviewed by the physicians of Foot Health Centers, Hernando & Southaven, MS. Meet our doctors

Indications
  • Mild to moderate bunion deformity
  • Bunions without significant first ray instability
How the procedure is performed

A Z-shaped (Scarf) cut in the metatarsal allows translation and rotation; fixed with two screws. An Akin osteotomy of the great toe corrects residual angulation.

Outpatient regional or general anesthesia.
Recovery timeline
  • Surgical shoe immediately, weightbearing on the heel
  • Transition to regular shoes 6–8 weeks
  • Full activity 3–4 months
Potential risks
  • Recurrence
  • Hardware irritation
  • Stiffness
  • Wound healing

Frequently asked questions

How long until I can drive?

Right foot surgery: usually 4–6 weeks. Left foot with an automatic: often within a week or two.

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