Scarf osteotomy. A, Capital fragment is displaced laterally while proximal fragment is held with clamp. Osteotomy is temporarily stabilized with Kirschner wire. B, Two screws are used to securely stabilize osteotomy. (From Coetzee JC, Rippstein P: Surgical strategies: scarf osteotomy for hallux valgus, Foot Ankle Int 28:529, 2007.) SEE TECHNIQUE 82.11.