Figure 1From: Combined rotation scarf and Akin osteotomies for hallux valgus: a patient focussed 9 year follow up of 50 patients The rotation scarf osteotomy rotates the inferior fragment as opposed to transposing it in the scarf ostoeotomy. By rotating the fragments greater reduction of the intermetatarsal angle can be achieved and the cortices of the metatarsal fragments are crossed preventing troughing.Back to article page