{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T04:54:56Z","timestamp":1777611296554,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1999,5,1]],"date-time":"1999-05-01T00:00:00Z","timestamp":925516800000},"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":[[1999,5]]},"abstract":"<jats:p>From a total of 153 patients (251 feet), 64 (41.8%) patients, who had had 105 modified Mitchell procedures, were clinically and radiographically examined with follow-up periods ranging from 15 to 24 years (mean, 21 years). Mean age at operation was 41 years (range, 12\u201364 years).<\/jats:p>\n                  <jats:p>The classic double osteotomies, which diverged slightly toward the plantar surface and the distal fragment, shifted laterally, and angled plantarward, were fixed with a smooth Kirschner wire. In this way, it was possible to achieve a reduction in the first intermetatarsal angle from an average of 22.5\u00b0 preoperatively to 7.7\u00b0 postoperatively, and the hallux valgus angle changed from an average of 33\u00b0 to 17\u00b0, with an average shortening of the first metatarsal of 5.4 mm and an average lateral displacement of the first metatarsal head of 4.5 mm.<\/jats:p>\n                  <jats:p>In 67 feet (64%), the results were graded good to excellent; in 23 feet (22%), satisfied; and in 15 feet (14%), poor. The results were worse than the results obtained on the same patient population with a follow-up ranging from 2 to 11 years, with 97% good-to-excellent results reported. Pain over bunion caused by recurrence of the hallux valgus deformity was the main reason for this late deterioration of the results.<\/jats:p>","DOI":"10.1177\/107110079902000504","type":"journal-article","created":{"date-parts":[[2013,3,3]],"date-time":"2013-03-03T03:31:12Z","timestamp":1362281472000},"page":"296-300","source":"Crossref","is-referenced-by-count":27,"title":["Late Results of Modified Mitchell Procedure for the Treatment of Hallux Valgus"],"prefix":"10.1177","volume":"20","author":[{"given":"Samo Karl","family":"Fokter","sequence":"first","affiliation":[{"name":"Orthopaedic Surgeon, Department of Orthopaedic Surgery and Sports Trauma, Celje General Hospital, Celje, Slovenia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janez","family":"Podobnik","sequence":"additional","affiliation":[{"name":"Resident, Department of Orthopaedic Surgery and Sports Trauma, Celje General Hospital, Celje, Slovenia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vilibald","family":"Vengust","sequence":"additional","affiliation":[{"name":"Primarius and Chief, Department of Orthopaedic Surgery and Sports Trauma, Celje General Hospital, Celje, Slovenia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1999,5,1]]},"reference":[{"key":"bibr1-107110079902000504","first-page":"390","volume":"25","author":"Bonner A.C.","year":"1986","journal-title":"J. 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