{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T08:39:32Z","timestamp":1792744772834,"version":"4.5.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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 Orthopaedics"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Recurrence after minimally invasive hallux valgus correction remains a concern, particularly following combined minimally invasive transverse\u2013Akin (META) and distal minimally invasive metatarsal osteotomies (DMMOs). The influence of deformity severity on recurrence remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective multicentre cohort study included 120 patients treated with combined META and DMMO between 2019 and 2024. Patients were stratified into mild, moderate, and severe deformity groups (n\u2009=\u200940 each). Radiographic outcomes and PROMIS scores were assessed preoperatively and at 3 and 12\u2009months. Recurrence was defined as hallux valgus angle (HVA)\u2009&gt;\u200920\u00b0. Multivariable logistic regression identified predictors of recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      All groups demonstrated significant radiographic correction and clinically meaningful PROMIS improvement. Recurrence rates at 12 months were 0% in mild, 30% in moderate, and 42.5% in severe deformities (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.0001). Baseline HVA independently predicted recurrence (OR: 1.13 per degree; 95% CI: 1.07-1.21;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Combined META+DMMO was associated with substantial functional outcomes; however, recurrence increases substantially with deformity severity.<\/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\/24730114261471555","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:05:31Z","timestamp":1787313931000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Recurrence After Combined Minimally Invasive Transverse\u2013Akin and Distal Minimally Invasive Metatarsal Osteotomies: Association With Preoperative Deformity Severity in a Multicentre Retrospective Cohort Study"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5259-0854","authenticated-orcid":false,"given":"Gil","family":"Genuth","sequence":"first","affiliation":[{"name":"Assuta Medical Centre, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadav","family":"Moses","sequence":"additional","affiliation":[{"name":"Wolfson Medical Centre, Holon, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Brown","sequence":"additional","affiliation":[{"name":"Flinders Medical Centre, Bedford Park, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Stavrou","sequence":"additional","affiliation":[{"name":"Flinders Medical Centre, Bedford Park, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3300-6519","authenticated-orcid":false,"given":"Lukas D.","family":"Iselin","sequence":"additional","affiliation":[{"name":"Orthopadische Klinik Luzern AG, Luzern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000002471"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716656440"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221114123"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114221112103"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716634792"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715598601"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0355"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-018-4006-8"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2016.04.001"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221146195"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.01178"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2022.01.010"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007211034849"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2016.04.010"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007251344273"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200107"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110078400500209"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2016.04.009"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2024.03.004"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007251361121"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2024.11.008"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007251372615"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114261420163"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-013-0513-z"},{"key":"e_1_3_2_26_2","first-page":"77","volume-title":"Minimally Invasive\/Percutaneous Foot and Ankle Surgery","author":"Laffen\u00eatre O.","year":"2023","unstructured":"Laffen\u00eatre O. Distal minimally invasive metatarsal osteotomy (DMMO). In: Vulcano E, Johnson H, Schipper O, eds. Minimally Invasive\/Percutaneous Foot and Ankle Surgery. 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