Delphi consensus on steps for scarf osteotomy: Establishing a standardized approach

The scarf osteotomy is a popular procedure for hallux valgus correction, but variability exists in its execution. This Delphi consensus study aimed to establish a standardised sequence of key procedural steps to guide training, simulation and assessment. A three-round Delphi process was conducted with an expert panel of foot and ankle surgeons. Statements achieving predefined consensus thresholds were included in the final recommendations. The study provides a framework for procedural standardisation, which can be used to inform training curricula, design of simulation training and assessment criteria. The findings also contribute to the literature aimed at improving surgical consistency and reducing complications associated with technical variability.