{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:27:18Z","timestamp":1783038438941,"version":"3.54.6"},"reference-count":26,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2004,8,1]],"date-time":"2004-08-01T00:00:00Z","timestamp":1091318400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2004,8]]},"abstract":"<jats:p>Background: Biomechanically, the Ludloff osteotomy fixed with lag screw compression has been shown to be more rigid than proximal crescentic and other proximal first metatarsal osteotomies for correction of symptomatic hallux valgus with a moderate to severe increase in the first intermetatarsal angle. The Ludloff osteotomy may, therefore, have a lower incidence of dorsal malunion and transfer metatarsalgia than other proximal first metatarsal osteotomies, such as the crescentic or chevron. Methods: We reviewed the results of 82 consecutive cases of moderate to severe hallux valgus deformities corrected with the Ludloff oblique metaphyseal-diaphyseal osteotomy of the first metatarsal combined with a distal soft-tissue procedure and medial eminence resection. Results: Follow-up was possible in 70 cases (85%) at an average of 30 months (range, 18 to 42 months). Preoperatively, the mean hallux valgus and first intermetatarsal angles were 31 degrees and 16 degrees, respectively. Postoperatively, these values improved to an average of 11 degrees and 7 degrees. In the sagittal plane, the first metatarsal was plantarflexed by an average of 1 mm, and there were no symptomatic transfer lesions of the second metatarsal. The mean AOFAS hindfoot score improved from 54 to 91 points. Complications included prominent hardware requiring removal (5), hallux varus (4), delayed union (3), superficial infection (3), and neuralgia (3). Conclusions: The use of the Ludloff oblique first metatarsal osteotomy resulted in excellent correction of the first intermetatarsal angle in patients with moderate to severe hallux valgus. With the plane of the osteotomy and rigidity of fixation, immediate ambulation was possible with minimal risk of dorsiflexion malunion of the first metatarsal.<\/jats:p>","DOI":"10.1177\/107110070402500804","type":"journal-article","created":{"date-parts":[[2015,11,24]],"date-time":"2015-11-24T21:25:19Z","timestamp":1448400319000},"page":"532-536","source":"Crossref","is-referenced-by-count":86,"title":["Clinical Results with the Ludloff Osteotomy for Correction of Adult Hallux Valgus"],"prefix":"10.1177","volume":"25","author":[{"given":"Christopher P.","family":"Chiodo","sequence":"first","affiliation":[{"name":"Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lew C.","family":"Schon","sequence":"additional","affiliation":[{"name":"Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark S.","family":"Myerson","sequence":"additional","affiliation":[{"name":"Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2004,8,1]]},"reference":[{"key":"bibr1-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300806"},{"key":"bibr2-107110070402500804","unstructured":"2. Beischer A: Three-dimensional computer analysis of the Ludloff osteotomy. Presented at the Fourth International Meeting of the Austrian Foot Society, Vienna, June 4, 2002."},{"key":"bibr3-107110070402500804","unstructured":"3. Brodsky JW, Beischer A, Robinson A, Westra S, Negrine JP, Ford K: Hallux valgus correction with modified McBride bunionectomy and proximal crescentic osteotomy: clinical, radiologic, and pedobarographic outcome. Presented at the 31st Annual Meeting of the American Orthopaedic Foot and Ankle Society, San Francisco, March 3, 2001."},{"key":"bibr4-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200301000-00028"},{"key":"bibr5-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102201208"},{"key":"bibr6-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110079601700603"},{"key":"bibr7-107110070402500804","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870050-00003"},{"key":"bibr8-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500701"},{"key":"bibr9-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199606000-00027"},{"key":"bibr10-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110079201300904"},{"key":"bibr11-107110070402500804","first-page":"364","volume":"110","author":"Ludloff K","year":"1918","journal-title":"Arch. Klin. Chir."},{"key":"bibr12-107110070402500804","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274010-00016"},{"key":"bibr13-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800205"},{"key":"bibr14-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31512-1"},{"key":"bibr15-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300505"},{"key":"bibr16-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202301009"},{"key":"bibr17-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302400105"},{"key":"bibr18-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400102"},{"key":"bibr19-107110070402500804","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199502000-00010"},{"key":"bibr20-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(97)80053-1"},{"key":"bibr21-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110079201300605"},{"key":"bibr22-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000202"},{"key":"bibr23-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200012000-00030"},{"key":"bibr24-107110070402500804","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102201007"},{"key":"bibr25-107110070402500804","first-page":"559","volume":"5","author":"Weil LS","year":"2000","journal-title":"Foot Ankle Clin."},{"key":"bibr26-107110070402500804","unstructured":"26. Weinfeld SB: The Ludloff osteotomy for correction of hallux valgus: results of 31 cases by one surgeon. Presented at the 31st Annual Meeting of the American Orthopaedic Foot and Ankle Society, San Francisco, CA, March 3, 2001."}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110070402500804","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/107110070402500804","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110070402500804","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:21:59Z","timestamp":1777411319000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/107110070402500804"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,8]]},"references-count":26,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2004,8]]}},"alternative-id":["10.1177\/107110070402500804"],"URL":"https:\/\/doi.org\/10.1177\/107110070402500804","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,8]]}}}