{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:59:50Z","timestamp":1777615190124,"version":"3.51.4"},"reference-count":60,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,10,4]],"date-time":"2019-10-04T00:00:00Z","timestamp":1570147200000},"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":[[2020,10]]},"abstract":"<jats:p>The purpose of the present study is to illustrate the use of a modified subcapital metatarsal osteotomy (MSMO) in the treatment of hallux valgus (HV) recurrence. The article reports the clinical and radiological outcomes of a cohort of 52 consecutive patients presenting with recurrent HV, treated with MSMO. A total of 52 patients (54 feet) underwent operations between May 2010 and November 2015. The mean time of follow-up was 2.5 years (range 5.5-1.0 years), and the mean age was 49 years (range 22-76 years). The patient cohort comprised 46 female and 6 male patients. The results of this research show that MSMO is a reliable technique for the correction of HV recurrence. The postoperative radiographic assessments show a statistically significant postoperative improvement of the HV angle (P &lt; .05) and the intermetatarsal angle (P &lt; .05). The postoperative position of the tibial sesamoid was significantly improved (P &lt; .1). The distal metatarsal articular angle was improved (P &lt; .001), though assessment may be affected by the previous operations performed on the first metatarsophalangeal joint. The statistical analysis shows that the postoperative American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal Scale parameters were significantly improved (P &lt; 0.001). Results of this study indicate that the minimally invasive MSMO is effective in restoring anatomical alignment and improving patient outcomes in recurrent cases of HV.<\/jats:p>\n                  <jats:p>Levels of Evidence: Level III: Case-control study<\/jats:p>","DOI":"10.1177\/1938640019875322","type":"journal-article","created":{"date-parts":[[2019,10,4]],"date-time":"2019-10-04T05:57:02Z","timestamp":1570168622000},"page":"404-414","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["The Modified Subcapital Metatarsal Osteotomy in the Treatment of Hallux Valgus Recurrence"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1480-8468","authenticated-orcid":false,"given":"Andrea","family":"Scala","sequence":"first","affiliation":[{"name":"\u201cArs Medica\u201d Clinic via Cesare Ferrero di Cambiano, Rome, Italy (AS)"},{"name":"Orthopaedic and Traumatology Department State 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