title: Metatarsus Primus Varus Correction.
abstract: We present a discussion on the use of proximal first-ray osteotomies in the surgical treatment for hallux valgus as a valid option compared with first-tarsometatarsal arthrodesis. Recent and historical literature tells us that stability of the first ray is a function of the alignment and reestablishment of retrograde stabilizing forces at the first tarsometatarsal joint. This realignment and stabilization may be accomplished with the use of distal soft tissue and proximal osteotomy procedures.
authors.affiliation: Weil Foot & Ankle Institute, Golf River Professional Building, 1455 East Golf Road, Des Plaines, IL 60016, USA. Electronic address: mdsoren34@gmail.com.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Sorensen
authors.affiliation: Weil Foot & Ankle Institute, Golf River Professional Building, 1455 East Golf Road, Des Plaines, IL 60016, USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Gradisek
authors.affiliation: Coastal Orthopedics and Sports Medicine, Bradenton, FL, USA.
authors.forename: James M
authors.initials: JM
authors.lastname: Cottom
mesh_terms: D001174:Arthrodesis / Q000379:methods*; D006215:Hallux Valgus / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010027:Osteotomy / Q000379:methods*
keywords: Apex of deformity; Bunion; Distal first-metatarsal osteotomy; Hallux valgus; Lapidus; Metatarsus primus varus; Proximal metatarsal osteotomy; SCARF bunionectomy correction