title: Osteotomy of the hallux proximal phalanx.
abstract: Osteotomy of the proximal phalanx appears to be used more frequently and with increasing indications. It rarely is indicated as the only surgical procedure and often is combined with a secondary procedure. In hallux valgus surgery, a proximal or distal metatarsal osteotomy often is used, and in hallux rigidus, a cheilectomy usually is added. The advantage of a proximal phalanx osteotomy is that it enables an extra-articular correction, which avoids breaching the metatarsophalangeal joint. This extra-articular correction may prevent joint stiffness and long-term joint changes.
authors.affiliation: Wrexham Maelor Hospital, Croesnewydd Road, Wrexham, United Kingdom. Nilesh@Bhanu.Freeserve.co.uk
authors.forename: N K
authors.initials: NK
authors.lastname: Makwana
mesh_terms: D003131:Combined Modality Therapy; D005529:Foot Bones / Q000601:surgery*; D006214:Hallux / Q000601:surgery; D020859:Hallux Rigidus / Q000601:surgery; D006215:Hallux Valgus / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D010027:Osteotomy / Q000379:methods*; D013640:Tarsal Joints / Q000503:physiopathology / Q000601:surgery