{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:30:44Z","timestamp":1790807444818,"version":"4.1.0"},"reference-count":53,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T00:00:00Z","timestamp":1642032000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Key Project of the National Social Science Foundation of China","award":["19ZDA352"],"award-info":[{"award-number":["19ZDA352"]}]},{"name":"Zhejiang Province Science Fund for Distinguished Young Scholars","award":["22NDQN223YB"],"award-info":[{"award-number":["22NDQN223YB"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Biology"],"abstract":"<jats:p>Background: The stress of foot bone can effectively evaluate the functional damage caused by foot deformity and the results of operation. In this study, the finite element method was used to investigate the degree of displacement of distal chevron osteotomy on metatarsal stress and metatarsophalangeal joint load; Methods: Four finite element models of displacement were established by using the CT images of a patient with moderate hallux valgus (hallux valgus angle and intermetatarsal angle were 26.74\u00b0 and 14.09\u00b0, respectively), and the validity of the model was verified. Each finite element model consisted of bones and various cartilage structures, ligaments, and plantar fascia, as well as encapsulated soft tissue. Except for soft tissue, the material properties of other parts were isotropic linear elastic material, and the encapsulated soft tissue was set as nonlinear hyperelastic material. The mesh was tetrahedral mesh. Link elements were used in ligament and plantar fascia. A ground reaction force with a half-body weight was applied at the bottom of the floor to simulate the ground reaction when standing. The upper surfaces of the encapsulated soft tissue, distal tibia, and distal fibula were fixed. The stress distribution of metatarsals and the stress of cartilage of the first metatarsophalangeal joint were compared and analyzed; Results: Compared with the hallux valgus without osteotomy, the stress of the first metatarsals and second metatarsals of 2\u20134 mm decreased, and the stress of the interarticular cartilage of the first metatarsophalangeal joint with 4 mm was reduced. In the case of 6 mm, the stress value between the first metatarsal and the first metatarsophalangeal joint increased, and 4 mm was the most suitable distance; Conclusions: Compared with the hallux valgus without osteotomy, the stress of the first metatarsals and second metatarsals of 2\u20134 mm decreased, and the stress of the interarticular cartilage of the first metatarsophalangeal joint with 4 mm was reduced. In the case of 6 mm, the stress value between the first metatarsal and the first metatarsophalangeal joint increased, and 4 mm was the most suitable distance. For the degree of displacement of the distal chevron osteotomy, the postoperative stability and the stress distribution of metatarsal bone should be considered. Factors such as hallux valgus angle, intermetatarsal angle, patient\u2019s age, body weight, and metatarsal width should be considered comprehensively. The factors affecting osteotomy need to be further explored. The degree of displacement of osteotomy can be evaluated by FE method before the operation, and the most suitable distance can be obtained.<\/jats:p>","DOI":"10.3390\/biology11010127","type":"journal-article","created":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T10:57:37Z","timestamp":1642071457000},"page":"127","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Effect of Displacement Degree of Distal Chevron Osteotomy on Metatarsal Stress: A Finite Element Method"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1186-247X","authenticated-orcid":false,"given":"Qiaolin","family":"Zhang","sequence":"first","affiliation":[{"name":"Faculty of Sports Science, Ningbo University, Ningbo 315211, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Faculty of Sports Science, Ningbo University, Ningbo 315211, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jialu","family":"Huang","sequence":"additional","affiliation":[{"name":"Faculty of Sports Science, Ningbo University, Ningbo 315211, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ee Chon","family":"Teo","sequence":"additional","affiliation":[{"name":"Faculty of Sports Science, Ningbo University, Ningbo 315211, China"},{"name":"School of Chemical and Biomedical Engineering, Nanyang Technological University, Singapore 639798, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2187-9440","authenticated-orcid":false,"given":"Yaodong","family":"Gu","sequence":"additional","affiliation":[{"name":"Faculty of Sports Science, Ningbo University, Ningbo 315211, China"},{"name":"Faculty of Engineering, University of Szeged, 6720 Szeged, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Ying, J., Xu, Y., Istv\u00e1n, B., and Ren, F. (2021). Adjusted Indirect and Mixed Comparisons of Conservative Treatments for Hallux Valgus: A Systematic Review and Network Meta-Analysis. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18073841"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.fas.2008.02.003","article-title":"Scarf and Akin osteotomies for moderate and severe hallux valgus: Clinical and radiographic results","volume":"14","author":"Garrido","year":"2008","journal-title":"Foot Ankle Surg. Off. J. Eur. Soc. Foot Ankle Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/S1067-2516(02)80048-5","article-title":"Metatarsalgia in hallux valgus deformity: A pedographic analysis","volume":"41","author":"Waldecker","year":"2002","journal-title":"J. Foot Ankle Surg. Off. Publ. Am. Coll. Foot Ankle Surg."},{"key":"ref_4","first-page":"1651","article-title":"The contribution of foot problems to mobility impairment and falls in community-dwelling older people","volume":"49","author":"Menz","year":"2001","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"95","DOI":"10.5334\/paah.57","article-title":"A Current Review of Foot Disorder and Plantar Pressure Alternation in the Elderly","volume":"4","author":"Zhang","year":"2020","journal-title":"Phys. Act. Health"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.fas.2018.10.001","article-title":"Incidence of hallux valgus primary surgical treatment. Finnish nationwide data from 1997 to 2014","volume":"25","author":"Partio","year":"2019","journal-title":"Foot Ankle Surg. Off. J. Eur. Soc. Foot Ankle Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1177\/1071100720935036","article-title":"Percutaneous Transosseous Suture Fixation of the Akin Osteotomy and Minimally Invasive Chevron for Correction of Hallux Valgus","volume":"41","author":"Liszka","year":"2020","journal-title":"Foot Ankle Int."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.2106\/JBJS.17.00975","article-title":"Unfavorable Outcomes Following Surgical Treatment of Hallux Valgus Deformity: A Systematic Literature Review","volume":"100","author":"Barg","year":"2018","journal-title":"J. Bone Joint Surg. Am. Vol."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Li, X., Guo, M., Zhu, Y., and Xu, X. (2018). The excessive length of first ray as a risk factor for hallux valgus recurrence. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0205560"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1302\/2058-5241.6.210029","article-title":"Percutaneous, MIS and open hallux valgus surgery","volume":"6","author":"Trnka","year":"2021","journal-title":"EFORT Open Rev."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.fcl.2016.04.002","article-title":"Percutaneous Surgery for Severe Hallux Valgus","volume":"21","author":"Vernois","year":"2016","journal-title":"Foot Ankle Clin."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1177\/1071100712465392","article-title":"Mitchell\u2019s osteotomy with mini-plate and screw fixation for hallux valgus","volume":"34","author":"Kalender","year":"2013","journal-title":"Foot Ankle Int."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1007\/s00402-012-1585-5","article-title":"Percutaneous distal metatarsal osteotomy versus distal chevron osteotomy for correction of mild-to-moderate hallux valgus deformity","volume":"132","author":"Radwan","year":"2012","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1177\/107110079701800405","article-title":"An anatomical basis for the degree of displacement of the distal chevron osteotomy in the treatment of hallux valgus","volume":"18","author":"Badwey","year":"1997","journal-title":"Foot Ankle Int."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1007\/s11831-015-9146-z","article-title":"Computational foot modeling: Scope and applications","volume":"23","author":"Bayod","year":"2016","journal-title":"Arch. Comput. Methods Eng."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1007\/s10439-015-1359-7","article-title":"Computational models of the foot and ankle for pathomechanics and clinical applications: A review","volume":"44","author":"Wang","year":"2016","journal-title":"Ann. Biomed. Eng."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.medengphy.2016.10.011","article-title":"Finite element modelling of the foot for clinical application: A systematic review","volume":"39","author":"Behforootan","year":"2017","journal-title":"Med. Eng. Phys."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.clinbiomech.2017.11.001","article-title":"Finite element simulation on posterior tibial tendinopathy: Load transfer alteration and implications to the onset of pes planus","volume":"51","author":"Wong","year":"2018","journal-title":"Clin. Biomech."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Cheng, C.-K., and Woo, S.L.-Y. (2020). Biomechanics of Foot and Ankle. Frontier in Orthopaedic Biomechanics, Springer.","DOI":"10.1007\/978-981-15-3159-0"},{"key":"ref_20","first-page":"291","article-title":"Heel skin stiffness effect on the hind foot biomechanics during heel strike","volume":"16","author":"Gu","year":"2010","journal-title":"Skin Res. Technol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.compbiomed.2018.04.010","article-title":"Effects of severe hallux valgus on metatarsal stress and the metatarsophalangeal loading during balanced standing: A finite element analysis","volume":"97","author":"Zhang","year":"2018","journal-title":"Comput. Biol. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"571192","DOI":"10.3389\/fbioe.2020.571192","article-title":"Finite Element Analysis of Generalized Ligament Laxity on the Deterioration of Hallux Valgus Deformity (Bunion)","volume":"8","author":"Wong","year":"2020","journal-title":"Front. Bioeng. Biotechnol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1590\/1806-9282.66.2.216","article-title":"Stiffness degree of ankle range of motion in diabetic patients with atypical amputation","volume":"66","year":"2020","journal-title":"Rev. Assoc. Med. Bras."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"152","DOI":"10.2174\/1874325001004010152","article-title":"Ninety-degree chevron osteotomy for correction of hallux valgus deformity: Clinical data and finite element analysis","volume":"4","author":"Matzaroglou","year":"2010","journal-title":"Open Orthop. J."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1111\/j.1469-7580.2010.01302.x","article-title":"Anatomy of the distal tibiofibular syndesmosis in adults: A pictorial essay with a multimodality approach","volume":"217","author":"Hermans","year":"2010","journal-title":"J. Anat."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1097\/00003086-199803000-00038","article-title":"Biomechanical topography of human articular cartilage in the first metatarsophalangeal joint","volume":"348","author":"Athanasiou","year":"1998","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"S31","DOI":"10.1016\/j.clinbiomech.2007.09.005","article-title":"Development of a finite element model of female foot for high-heeled shoe design","volume":"23","author":"Yu","year":"2008","journal-title":"Clin. Biomech."},{"key":"ref_28","unstructured":"Simkin, A. (1982). Structural Analysis of the Human Foot in Standing Posture. [Ph.D. Thesis, Tel Aviv University]."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.clinbiomech.2006.09.009","article-title":"Nonlinear finite element analysis for musculoskeletal biomechanics of medial and lateral plantar longitudinal arch of Virtual Chinese Human after plantar ligamentous structure failures","volume":"22","author":"Wu","year":"2007","journal-title":"Clin. Biomech."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1016\/j.jbiomech.2004.05.035","article-title":"Three-dimensional finite element analysis of the foot during standing\u2014A material sensitivity study","volume":"38","author":"Cheung","year":"2005","journal-title":"J. Biomech."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1115\/1.1318904","article-title":"Biomechanical analysis of the three-dimensional foot structure during gait: A basic tool for clinical applications","volume":"122","author":"Gefen","year":"2000","journal-title":"J. Biomech. Eng."},{"key":"ref_32","first-page":"27","article-title":"An analysis of soft tissue loading in the foot\u2014A preliminary report","volume":"10","author":"Nakamura","year":"1981","journal-title":"Bull. Prosthet. Res."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1007\/s00264-009-0856-4","article-title":"Computer simulation of stress distribution in the metatarsals at different inversion landing angles using the finite element method","volume":"34","author":"Gu","year":"2010","journal-title":"Int. Orthop."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"104745","DOI":"10.1016\/j.compbiomed.2021.104745","article-title":"Finite element analysis of the lumbar spine in adolescent idiopathic scoliosis subjected to different loads","volume":"136","author":"Zhang","year":"2021","journal-title":"Comput. Biol. Med."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Xuan, R., Yang, M., Gao, Y., Ren, S., Li, J., Yang, Z., Song, Y., Huang, X.H., Teo, E.C., and Zhu, J. (2021). A Simulation Analysis of Maternal Pelvic Floor Muscle. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182010821"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.3389\/fphys.2018.01434","article-title":"Cartilage Stiffness Effect on Foot Biomechanics of Chinese Bound Foot: A Finite Element Analysis","volume":"9","author":"Zhang","year":"2018","journal-title":"Front. Physiol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"497","DOI":"10.7547\/16-030","article-title":"Mechanical Stress Redistribution in the First Metatarsal Bone After Autologous Bone Harvesting","volume":"107","year":"2017","journal-title":"J. Am. Podiatr. Med Assoc."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"L\u00f3pez-L\u00f3pez, D., Larrainzar-Garijo, R., De-Bengoa-Vallejo, R.B., Losa-Iglesias, M.E., and Bayod-L\u00f3pez, J. (2021). Effectiveness of the Lapidus plate system in foot surgery: A PRISMA compliant systematic review. Int. Wound J.","DOI":"10.1111\/iwj.13649"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"791238","DOI":"10.3389\/fbioe.2021.791238","article-title":"The influence of heel height on strain variation of plantar fascia during high heel shoes walking-combined musculoskeletal modeling and finite element analysis","volume":"9","author":"Wang","year":"2021","journal-title":"Front. Bioeng. Biotechnol."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Palomo-L\u00f3pez, P., Losa-Iglesias, M.E., Calvo-Lobo, C., Rodr\u00edguez-Sanz, D., Navarro-Flores, E., Becerro-de-Bengoa-Vallejo, R., and L\u00f3pez-L\u00f3pez, D. (2019). Fibularis tertius muscle in women & men: A surface anatomy cross-sectional study across countries. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0215118"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1186\/s13018-016-0491-x","article-title":"Functional and radiographic outcomes of hallux valgus correction by mini-invasive surgery with Reverdin-Isham and Akin percutaneous osteotomies: A longitudinal prospective study with a 48-month follow-up","volume":"11","author":"Biz","year":"2016","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_42","first-page":"138","article-title":"A modification of the Mitchell procedure","volume":"58","author":"Corless","year":"1976","journal-title":"J. Bone Joint Surg. B"},{"key":"ref_43","first-page":"707","article-title":"Chevron osteotomy of the first metatarsal: Patient selection and technique","volume":"3","author":"Johnson","year":"1981","journal-title":"Contemp. Orthop."},{"key":"ref_44","first-page":"44","article-title":"Chevron osteotomy for hallux valgus","volume":"142","author":"Johnson","year":"1979","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1097\/00003086-198106000-00007","article-title":"A new osteotomy for hallux valgus: A horizontally directed \u201cV\u201d displacement osteotomy of the metatarsal head for hallux valgus and primus varus","volume":"157","author":"Austin","year":"1981","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1097\/00003086-198106000-00018","article-title":"Modified chevron osteotomy of the first metatarsal","volume":"157","author":"Lewis","year":"1981","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_47","first-page":"227","article-title":"Hallux valgus","volume":"98","author":"Hecht","year":"2014","journal-title":"Med Clin."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.fcl.2004.09.003","article-title":"Orthotic management for disorders of the hallux","volume":"10","author":"Sammarco","year":"2005","journal-title":"Foot Ankle Clin."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1053\/j.jfas.2017.01.002","article-title":"Preliminary results and learning curve of the minimally invasive chevron akin operation for hallux valgus","volume":"56","author":"Jowett","year":"2017","journal-title":"J. Foot Ankle Surg."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1053\/j.jfas.2006.10.011","article-title":"Hallux valgus inheritance: Pedigree research in 350 patients with bunion deformity","volume":"46","author":"Antich","year":"2007","journal-title":"J. Foot Ankle Surg."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"3142","DOI":"10.1016\/j.jbiomech.2015.07.013","article-title":"Functional restoration and risk of non-union of the first metatarsocuneiform arthrodesis for hallux valgus: A finite element approach","volume":"48","author":"Wong","year":"2015","journal-title":"J. Biomech."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.1016\/j.medengphy.2014.03.004","article-title":"Biomechanics of first ray hypermobility: An investigation on joint force during walking using finite element analysis","volume":"36","author":"Wong","year":"2014","journal-title":"Med. Eng. Phys."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"133","DOI":"10.5334\/paah.109","article-title":"The Prevalence of Lower Extremity Injuries in Running and Associated Risk Factors: A Systematic Review","volume":"5","author":"Dempster","year":"2021","journal-title":"Phys. Act. Health"}],"container-title":["Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2079-7737\/11\/1\/127\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T13:39:35Z","timestamp":1760362775000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2079-7737\/11\/1\/127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,13]]},"references-count":53,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,1]]}},"alternative-id":["biology11010127"],"URL":"https:\/\/doi.org\/10.3390\/biology11010127","relation":{},"ISSN":["2079-7737"],"issn-type":[{"value":"2079-7737","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,13]]}}}