Distal metatarsal osteotomy for hallux varus following surgery for hallux valgus

• DOI: 10.1302/0301-620x.93b8.26430
• Publication Date: 2011-07-19T00:00:27Z
• Authors: K. J. Choi; H. S. Lee; Y. S. Yoon; S. S. Park; J. S. Kim; J. J. Jeong; Y. R. Choi
• Keywords: First metatarsal; Valgus deformity; Chevron (anatomy)

We reviewed the outcome of distal chevron metatarsal osteotomy without tendon transfer in 19 consecutive patients (19 feet) with a hallux varus deformity following surgery for valgus. All underwent medial displacement and closing wedge along capsular release. The mean valgus angle improved from -11.6° pre-operatively to 4.7° postoperatively, first-second intermetatarsal -0.3° 3.3° articular 9.5° 2.3° first metatarsophalangeal joints became congruent post-operatively all feet. relative length ratio metatarsus decreased 1.01 0.99 American Orthopaedic Foot Ankle Society score 77 95 points. In two recurred. One was symptom-free but other remained symptomatic after repeat osteotomy. There were no complications. consider that release is useful procedure correction