title: Treatment of hallux valgus with increased distal metatarsal articular angle: use of double and triple osteotomies.
abstract: The treatment of the congruent hallux valgus deformity requires special consideration for a successful outcome to be obtained. The distal metatarsal articular angle is of critical importance in this deformity. The goal of correction is to achieve a realigned first ray and preserve the congruent first metatarsophalangeal articulation. In patients with an increased distal metatarsal articular angle and congruent joint, the use of double and triple first ray osteotomies must be used to achieve satisfactory correction.
authors.affiliation: Foot and Ankle Surgery Program, Department of Orthopaedic Surgery, University of California, San Diego, San Diego, CA 92103-8894, USA. batsmithmd@hotmail.com
authors.forename: Bertil W
authors.initials: BW
authors.lastname: Smith
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Coughlin
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005531:Foot Deformities, Acquired / Q000000981:diagnostic imaging / Q000601:surgery; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D010147:Pain Measurement; D011183:Postoperative Complications / Q000503:physiopathology; D011300:Preoperative Care / Q000379:methods; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D012720:Severity of Illness Index; D016896:Treatment Outcome; D055815:Young Adult