{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:15:51Z","timestamp":1787019351378,"version":"build-2736575974"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"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":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The purpose of this study is to evaluate the effect of the different surgical treatments for hallux valgus on various radiographic measures of bunion correction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted at a single academic medical center involving 2 fellowship-trained foot and ankle surgeons. One hundred and nineteen feet (110 patients) were included. Procedures included first metatarsophalangeal (MTP) arthrodesis (n = 88), Chevron and\/or Scarf osteotomy (n = 23), and Lapidus (n = 8). Overall, 78.2% of patients were female, mean age was 60.49 (range, 16-81) years, and mean follow-up was 1.20 (range, 0.25-3.92) years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Hallux valgus angle (HVA) significantly differed preoperatively (MTP = 33.33\u00b0, Chevron\/Scarf = 27.03\u00b0, Lapidus = 32.56\u00b0; P = .026). There was no difference in distal metatarsal articular angle (DMAA) preoperatively (MTP = 18.87\u00b0, Chevron\/Scarf = 17.80\u00b0, Lapidus = 14.39\u00b0; P = .629). At final follow-up, DMAA was significantly greatest among the Lapidus bunionectomy cohort (MTP = 9.63\u00b0, Chevron\/Scarf = 13.51\u00b0, Lapidus = 17.45\u00b0; P = .005). There was no difference in infection (MTP = 6.8%, Chevron\/Scarf = 4.4%, Lapidus = 0.0%; P = 1.00) or reoperation (MTP = 19.3%, Chevron\/Scarf = 21.7%, Lapidus = 12.5%; P = .921) rates between cohorts, although both rates were highest in the first MTP arthrodesis group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among the 3 hallux valgus corrections studied, Lapidus bunionectomy fared the worst regarding DMAA correction at first follow-up and final follow-up, compared with MTP fusion and distal metatarsal osteotomies. Other radiographic measures showed no significant difference among the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III: Retrospective cohort study<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19386400231203114","type":"journal-article","created":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T02:12:55Z","timestamp":1697508775000},"page":"525-534","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Changes in Radiographic Alignment Following Metatarsophalangeal Fusion, Distal Metatarsal Osteotomy, and Lapidus"],"prefix":"10.1177","volume":"18","author":[{"given":"Timothy","family":"Dusch","sequence":"first","affiliation":[{"name":"Department of Orthopaedics &amp; Physical Medicine, Medical University of South Carolina, Charleston, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Guareschi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics &amp; Physical Medicine, Medical University of South Carolina, Charleston, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1296-489X","authenticated-orcid":false,"given":"Andrew","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of South Florida, Tampa, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6301-3106","authenticated-orcid":false,"given":"Caroline","family":"Hoch","sequence":"additional","affiliation":[{"name":"Gillings School of Global Public Health, University of North Carolina, Charleston, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher E.","family":"Gross","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics &amp; Physical Medicine, Medical University of South Carolina, Charleston, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6996-9472","authenticated-orcid":false,"given":"Daniel J.","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics &amp; Physical Medicine, Medical University of South Carolina, Charleston, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0284185119847675"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0759"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2473011419838500"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200203"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.05.021"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114211008514"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1510-6"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00971"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-013-2027-x"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300903"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0857"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.02.008"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2013.01.003"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2018.02.001"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100712472489"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2016.05.005"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-20-00189"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079501601104"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200503"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-19-00324"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/19386400221093859"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602700206"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2014.01.020"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-014-2601-x"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-36162012000300015"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI-2009-0415"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.7547\/19-050"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716656442"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718790255"}],"container-title":["Foot &amp; 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