{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:16:58Z","timestamp":1777616218534,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,9,20]],"date-time":"2016-09-20T00:00:00Z","timestamp":1474329600000},"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":[[2017,4]]},"abstract":"<jats:p>Some authors reported the results from percutaneous distal metatarsal osteotomy for hallux valgus recently. On the other hand, there are few reports of percutaneous proximal metatarsal osteotomy. The purpose of the present study was to evaluate the radiographic results of percutaneous proximal closing wedge osteotomy with Akin osteotomy for correction of severe hallux valgus and increasing longitudinal arch height. Consecutive 17 feet (mean age = 70.8 years) were investigated. The mean follow-up was 22 months. Excision of medial eminence, distal soft tissue release, and Akin osteotomy were all performed percutaneously and concurrently. Weight-bearing anteroposterior and lateral radiographs of the feet were acquired preoperatively and at final follow-up. On the anteroposterior radiographs, hallux valgus angle, intermetatarsal angle, and first metatarsal shortening were measured. On the lateral radiographs, talometatarsal angle, calcaneal pitch angle, and first metatarsal dorsiflexion were measured. The average improvements in hallux valgus angle and intermetatarsal angle were 27.6\u00b0 and 9.9\u00b0, respectively. The average first metatarsal shortening was 2.7 mm. The first metatarsal dorsiflexion improved by 2.2\u00b0; however, other parameters did not improve significantly. In conclusion, percutaneous proximal closing wedge osteotomy with Akin osteotomy corrects severe hallux valgus; however, the procedure does not increase the medial longitudinal arch.<\/jats:p>\n                  <jats:p>Levels of Evidence: Therapeutic, Level IV: Case series<\/jats:p>","DOI":"10.1177\/1938640016668031","type":"journal-article","created":{"date-parts":[[2016,9,9]],"date-time":"2016-09-09T20:28:48Z","timestamp":1473452928000},"page":"170-179","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Effectiveness of Percutaneous Proximal Closing Wedge Osteotomy With Akin Osteotomy to Correct Severe Hallux Valgus Determined by Radiographic Parameters"],"prefix":"10.1177","volume":"10","author":[{"given":"Toshinori","family":"Kurashige","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Chiba Aiyukai Memorial Hospital, Chiba, Japan (TK)"},{"name":"Department of 3rd Orthopaedic Surgery, Mito Red Cross Hospital, Ibaraki, Japan (SS)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiichi","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chiba Aiyukai Memorial Hospital, Chiba, Japan (TK)"},{"name":"Department of 3rd Orthopaedic Surgery, Mito Red Cross Hospital, Ibaraki, Japan (SS)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,9,20]]},"reference":[{"key":"bibr1-1938640016668031","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0479"},{"key":"bibr2-1938640016668031","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713481453"},{"key":"bibr3-1938640016668031","first-page":"1191","volume":"87","author":"Magnan B","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"bibr4-1938640016668031","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200603001-00013"},{"key":"bibr5-1938640016668031","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0503"},{"key":"bibr6-1938640016668031","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0748"},{"key":"bibr7-1938640016668031","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0513"},{"key":"bibr8-1938640016668031","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713497933"},{"key":"bibr9-1938640016668031","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2013.06.017"},{"key":"bibr10-1938640016668031","volume-title":"Chirurgie mini-invasive et percutan\u00e9e du pied","author":"Cazeau C","year":"2009"},{"key":"bibr11-1938640016668031","first-page":"516","volume":"77","author":"De Lavigne C","year":"2011","journal-title":"Acta Orthop Belg"},{"key":"bibr12-1938640016668031","volume-title":"Minimally Invasive Foot Surgery","author":"De Prado M","year":"2009"},{"key":"bibr13-1938640016668031","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/S0891-8422(23)00420-2","volume":"8","author":"Isham SA","year":"1991","journal-title":"Clin Podiatr Med Surg"},{"key":"bibr14-1938640016668031","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-84996-417-3"},{"key":"bibr15-1938640016668031","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801900805"},{"key":"bibr16-1938640016668031","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0759"},{"key":"bibr17-1938640016668031","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000306"},{"key":"bibr18-1938640016668031","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202301009"},{"key":"bibr19-1938640016668031","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.1025"},{"key":"bibr20-1938640016668031","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2005.07.009"},{"key":"bibr21-1938640016668031","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300507"},{"key":"bibr22-1938640016668031","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713517099"}],"container-title":["Foot &amp; 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