{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T04:44:45Z","timestamp":1772340285986,"version":"3.50.1"},"reference-count":25,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2012,12,1]],"date-time":"2012-12-01T00:00:00Z","timestamp":1354320000000},"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 Ankle Int."],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Many procedures have been described for surgical treatment of symptomatic hallux rigidus. Dorsal cheilectomy of the metatarsophalangeal joint combined with a dorsal-based closing wedge osteotomy of the proximal phalanx (i.e., Moberg procedure) has been described as an effective procedure. For patients with hallux rigidus and clinically significant hallux valgus interphalangeus, the authors previously described a dorsal cheilectomy combined with a biplanar closing wedge osteotomy of the proximal phalanx, combining a Moberg osteotomy with an Akin osteotomy. The purpose of this study was to describe the clinical results of this procedure. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> This article is a retrospective review of prospectively gathered data that reports the clinical and radiographic results of dorsal cheilectomy combined with a biplanar oblique closing wedge proximal phalanx osteotomy (i.e., Moberg\u2013Akin procedure) for patients with symptomatic hallux rigidus and hallux valgus interphalangeus. Consecutive patients were followed and evaluated for clinical and radiographic healing, satisfaction, and ultimate need for additional procedure(s). Thirty-five feet in 34 patients underwent the procedure. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> All osteotomies healed. At an average of 22.5 months of follow-up, 90% of patients reported good or excellent results, with pain relief, improved function, and fewer shoe wear limitations following this procedure. Hallux valgus and hallux interphalangeal angles were radiographically improved. Other than one patient who requested hardware removal, no patients required additional surgical procedures. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> Dorsal cheilectomy combined with a Moberg-Akin procedure was an effective and durable procedure with minimal morbidity in patients with hallux rigidus combined with hallux valgus interphalangeus. Level of Evidence: IV, Retrospective Case Series <\/jats:p><\/jats:sec>","DOI":"10.3113\/fai.2012.1043","type":"journal-article","created":{"date-parts":[[2015,12,4]],"date-time":"2015-12-04T19:00:36Z","timestamp":1449255636000},"page":"1043-1050","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Biplanar Proximal Phalanx Closing Wedge Osteotomy for Hallux Rigidus"],"prefix":"10.1177","volume":"33","author":[{"given":"Kenneth John","family":"Hunt","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Stanford University, Redwood City, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert B.","family":"Anderson","sequence":"additional","affiliation":[{"name":"OrthoCarolina, Foot and Ankle Institute, Charlotte, NC."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,12,1]]},"reference":[{"key":"bibr1-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(98)80004-5"},{"key":"bibr2-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.34B3.366"},{"key":"bibr3-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B5.3680354"},{"key":"bibr4-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300114"},{"key":"bibr5-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302401002"},{"key":"bibr6-FAI.2012.1043","unstructured":"DuVries H: Surgery of the Foot, St. Louis, MO, Mosby Year Book, 1959, pp. 392\u2013399."},{"key":"bibr7-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000302"},{"key":"bibr8-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200304"},{"key":"bibr9-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1177\/107110079101200101"},{"key":"bibr10-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198769010-00011"},{"key":"bibr11-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198801000-00025"},{"key":"bibr12-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1097\/BTF.0b013e3181b37f8f"},{"key":"bibr13-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B6.15000"},{"key":"bibr14-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200602"},{"key":"bibr15-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870030-00012"},{"key":"bibr16-FAI.2012.1043","first-page":"55","volume":"142","author":"Moberg E","year":"1979","journal-title":"Clin Orthop Relat Res"},{"key":"bibr17-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000405"},{"key":"bibr18-FAI.2012.1043","unstructured":"Pappas A, Anderson R, Cosculluela P, Nickisch F, Cohen B, Davis W: Results of dorsal cheilectomy for the treatment of advanced stage hallux rigidus. Presented at American Orthopaedic Foot & Ankle Society 24th Annual Summer Meeting, Denver, CO, 2008."},{"key":"bibr19-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602701118"},{"key":"bibr20-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-7071(00)00167-4"},{"key":"bibr21-FAI.2012.1043","unstructured":"Sima WF, Reischl SF, Smith RW, Ebramzadeh E: Hallux rigidus treated with cheilectomy. Presented at American Orthopaedic Foot and Ankle Society Specialty Day Meeting, Washington, D.C. 1992."},{"key":"bibr22-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002101103"},{"key":"bibr23-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(97)80060-9"},{"key":"bibr24-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000102"},{"key":"bibr25-FAI.2012.1043","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0637"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3113\/FAI.2012.1043","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.3113\/FAI.2012.1043","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3113\/FAI.2012.1043","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T20:14:38Z","timestamp":1741637678000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.3113\/FAI.2012.1043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12]]},"references-count":25,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2012,12]]}},"alternative-id":["10.3113\/FAI.2012.1043"],"URL":"https:\/\/doi.org\/10.3113\/fai.2012.1043","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,12]]}}}