{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:51:28Z","timestamp":1787021488216,"version":"build-2736575974"},"reference-count":25,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"8","license":[{"start":{"date-parts":[[2011,8,1]],"date-time":"2011-08-01T00:00:00Z","timestamp":1312156800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:p>We reviewed the outcome of distal chevron metatarsal osteotomy without tendon transfer in 19 consecutive patients (19 feet) with a hallux varus deformity following surgery for hallux valgus. All patients underwent distal chevron metatarsal osteotomy with medial displacement and a medial closing wedge osteotomy along with a medial capsular release.<\/jats:p>\n                  <jats:p>The mean hallux valgus angle improved from \u221211.6\u00b0 pre-operatively to 4.7\u00b0 postoperatively, the mean first-second intermetatarsal angle improved from \u22120.3\u00b0 to 3.3\u00b0 and the distal metatarsal articular angle from 9.5\u00b0 to 2.3\u00b0 and the first metatarsophalangeal joints became congruent post-operatively in all 19 feet. The mean relative length ratio of the metatarsus decreased from 1.01 to 0.99 and the mean American Orthopaedic Foot and Ankle Society score improved from 77 to 95 points.<\/jats:p>\n                  <jats:p>In two patients the hallux varus recurred. One was symptom-free but the other remained symptomatic after a repeat distal chevron osteotomy. There were no other complications.<\/jats:p>\n                  <jats:p>We consider that distal chevron metatarsal osteotomy with a medial wedge osteotomy and medial capsular release is a useful procedure for the correction of hallux varus after surgery for hallux valgus.<\/jats:p>","DOI":"10.1302\/0301-620x.93b8.26430","type":"journal-article","created":{"date-parts":[[2011,7,18]],"date-time":"2011-07-18T20:00:27Z","timestamp":1311019227000},"page":"1079-1083","source":"Crossref","is-referenced-by-count":22,"title":["Distal metatarsal osteotomy for hallux varus following surgery for hallux valgus"],"prefix":"10.1302","volume":"93-B","author":[{"given":"K. J.","family":"Choi","sequence":"first","affiliation":[{"name":"Choi Kyung Jin Orthopaedic Hospital, 369-26 Woobong Building 3F, Shindang-dong, Jung-gu, Seoul, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. S.","family":"Lee","sequence":"additional","affiliation":[{"name":"Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-2dong, Songpa-gu Seoul 138-736, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y. S.","family":"Yoon","sequence":"additional","affiliation":[{"name":"Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-2dong, Songpa-gu Seoul 138-736, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. S.","family":"Park","sequence":"additional","affiliation":[{"name":"Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-2dong, Songpa-gu Seoul 138-736, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. S.","family":"Kim","sequence":"additional","affiliation":[{"name":"Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-2dong, Songpa-gu Seoul 138-736, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. J.","family":"Jeong","sequence":"additional","affiliation":[{"name":"Catholic University of Korea, Daejeon St. Mary\u2019s Hospital, 520-2, Daehung-dong, Jung-gu, Daejeon, 301-723, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y. R.","family":"Choi","sequence":"additional","affiliation":[{"name":"CHA University, CHA Bundang Medical Centre, 351 Yatap-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2008.11.007"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1016\/S0305-4179(00)00032-2"},{"key":"R3","unstructured":"Stanifer E, Hodor D, Wertheimer S.\n                      Congenital hallux varus: case presentation and review of the literature. J Foot Surg 1991;30:509\u201312."},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1177\/107110078300300409"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-7515(02)00130-4"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Edelman RD.\n                      Iatrogenically induced hallux varus. Clin Podiatr Med Surg 1991;8:367\u201382.","DOI":"10.1016\/S0891-8422(23)00444-5"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197105000-00024"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.3109\/17453677408989689"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1935.02760410008003"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2009.04.002"},{"key":"R11","unstructured":"Mann RA, Coughlin MJ.\n                      Hallux valgus. In: Mann RA, Coughlin MJ, Saltzman CL, eds.\n                      Surgery of the Foot and Ankle\n                      . Eighth ed. St. Louis: Mosby, 2007:183\u2013362."},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500701"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300114"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Hardy RH, Clapham JC.\n                      Hallux valgus; predisposing anatomical causes. Lancet 1952;1:1180\u20133.","DOI":"10.1016\/S0140-6736(52)91086-6"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0949"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402500104"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2004.09.003"},{"key":"R18","unstructured":"Skalley TC, Myerson MS.\n                      The operative treatment of acquired hallux varus. Clin Orthop 1994;306:183\u201391."},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Johnson KA, Spiegl PV.\n                      Extensor hallucis longus transfer for hallux varus deformity. J Bone Joint Surg [Am] 1984;66-A:681\u20136.","DOI":"10.2106\/00004623-198466050-00005"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1177\/107110079601700104"},{"key":"R21","unstructured":"Richardson EG, Donley BG.\n                      Disorders of hallux. In: Canale ST, Campbell WC, eds.\n                      Campbell\u2019s operative orthopaedics.\n                      Tenth ed. St. Louis: Mosby, 2003:3915\u20134016."},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.1177\/107110079501600801"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800913"},{"key":"R24","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800911"},{"key":"R25","doi-asserted-by":"crossref","unstructured":"Austin DW, Leventen EO.\n                      A new osteotomy for hallux valgus: a horizontally directed \u201cV\u201d displacement osteotomy of the metatarsal head for hallux valgus and primus varus. Clin Orthop 1981;157:25\u201330.","DOI":"10.1097\/00003086-198106000-00007"}],"container-title":["The Journal of Bone and Joint Surgery. 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