{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:05:54Z","timestamp":1777615554476,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2011,4,13]],"date-time":"2011-04-13T00:00:00Z","timestamp":1302652800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:p>Metatarsus primus varus must be addressed during correction of moderate to severe hallux valgus deformity. As an alternative to proximal osteotomy or first tarsometatarsal fusion for hallux valgus correction, this study presents a series of patients treated using the Arthrex Mini TightRope. A total of 36 patients (44 operations) with hallux valgus and metatarsus primus varus underwent correction using the Arthrex Mini TightRope. Assessment included measurement of radiographic parameters, the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot outcomes score, and the SF-12. The average hallux valgus angle improved from 32.2\u00b0 to 15.2\u00b0 ( P &lt; .0001). The average first intermetatarsal angle improved from 14.6\u00b0 to 8.2\u00b0 ( P &lt; .0001). The average distal metatarsal articular angle improved from 17.0\u00b0 to 9.6\u00b0 ( P &lt; .0001). The average AOFAS midfoot outcomes scores improved from 45.44 to 84.72 ( P &lt; .0001). Postoperative SF-12 physical and mental scores averaged 52.99 and 56.63. Only one patient had recurrence of deformity. Correcting metatarsus primus varus in association with hallux valgus deformity using the Arthrex Mini TightRope should be considered a treatment option. This technique is less invasive and seems capable of maintaining correction while allowing for early weight bearing and avoiding the need for a proximal first metatarsal osteotomy or Lapidus procedure.<\/jats:p>","DOI":"10.1177\/1938640011402823","type":"journal-article","created":{"date-parts":[[2011,4,13]],"date-time":"2011-04-13T22:36:28Z","timestamp":1302734188000},"page":"212-217","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Correction of Metatarsus Primus Varus Associated With Hallux Valgus Deformity Using the Arthrex Mini TightRope"],"prefix":"10.1177","volume":"4","author":[{"given":"Stephen","family":"Kayiaros","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University (SK, BDB, HVL, JTP, CWD)"},{"name":"Division of Podiatry, Roger Williams Medical Center (JD, PS), Providence, Rhode 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