{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:11:09Z","timestamp":1792685469536,"version":"4.5.0"},"reference-count":26,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T00:00:00Z","timestamp":1680134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Hallux valgus (HV) is a common adult foot deformity. There is uncertainty concerning the effect of HV surgery on foot width. We examined the effect of chevron first metatarsal osteotomy on forefoot width using calibrated pre and postoperative standing radiographs. Methods: A retrospective cohort of 50 patients underwent chevron osteotomy HV surgery. All had HVA &gt; 30\u00b0, IMA &gt; 11\u00b0, DMMA &gt; 3\u00b0, &gt;6-month follow-up, and calibrated pre and postoperative standing foot radiographs. Bony width (BW) and soft tissue width (STW) were used to measure the surgery\u2019s effect on foot width. Measurements were made preoperatively and 3\u20136 months following surgery. Results: The study group included 42 women with an average age of 63.4 (\u00b18.3) and a mean BMI of 28.7 (\u00b14.9). Preoperative HVA and IMA were 31.7\u00b0 (\u00b16.8\u00b0) and 13.4\u00b0 (\u00b12.8\u00b0), respectively. Following surgery, HVA and IMA improved significantly, by 15.6\u00b0 (\u00b15.7\u00b0) and 8.7\u00b0 (\u00b12.3\u00b0), respectively. The preoperative average BW was 9.4 cm (\u00b10.6), and the STW was 10.6 cm (\u00b10.7). Following surgery, significant changes in BW and STW were measured, with a mean narrowing of 1.2 cm (\u00b10.4) in BW (p &lt; 0.001) and 0.95 cm (\u00b10.5) in STW (p &lt; 0.001). Paradoxically, an increase in age led to a lower correction of the IMA (p = 0.04, r = 0.57), but higher BW and STW reductions (p = 0.01, r = 0.35 and p = 0.008, r = 0.37, respectively). Conclusions: This study reinforced chevron osteotomy as a valid treatment option that significantly narrows forefoot width; it is thus expected to improve cosmetic outcomes, shoe selection options, and quality of life. This study also found that older age correlates with better forefoot narrowing following hallux valgus repair, possibly due to stiffer soft tissues.<\/jats:p>","DOI":"10.3390\/jcm12072607","type":"journal-article","created":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T04:45:35Z","timestamp":1680151535000},"page":"2607","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Hallux Valgus Repair with Chevron Osteotomy Significantly Narrows Forefoot Width"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7968-7906","authenticated-orcid":false,"given":"Raphael","family":"Lotan","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Wolfson Medical Center, Holon 5822012, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benzion","family":"Shlomov","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Wolfson Medical Center, Holon 5822012, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Dotan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Wolfson Medical Center, Holon 5822012, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Bermant","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Wolfson Medical Center, Holon 5822012, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2975-9152","authenticated-orcid":false,"given":"Oded","family":"Hershkovich","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Wolfson Medical Center, Holon 5822012, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1757-1146-3-21","article-title":"Prevalence of hallux valgus in the general population: A systematic review and meta-analysis","volume":"3","author":"Nix","year":"2010","journal-title":"J. Foot Ankle Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"759","DOI":"10.3113\/FAI.2007.0759","article-title":"Hallux valgus: Demographics, etiology, and radiographic assessment","volume":"28","author":"Coughlin","year":"2007","journal-title":"Foot Ankle Int."},{"key":"ref_3","first-page":"282","article-title":"Hypermobility of the first ray in ballet dancer","volume":"2","author":"Biz","year":"2012","journal-title":"Muscle Ligaments Tendons J."},{"key":"ref_4","first-page":"469","article-title":"Hypermobility of the first ray","volume":"5","author":"Myerson","year":"2000","journal-title":"Foot Ankle Clin."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.2106\/00004623-195840050-00007","article-title":"A Comparison of Foot Forms among the Non-Shoe and Shoe-Wearing Chinese Population","volume":"40","author":"Hodgson","year":"1958","journal-title":"J. Bone Jt. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1177\/107110070202300114","article-title":"Angular measurements in the evaluation of hallux valgus deformities: A report of the ad hoc committee of the American Orthopaedic Foot & Ankle Society on angular measurements","volume":"23","author":"Coughlin","year":"2002","journal-title":"Foot Ankle Int."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"654","DOI":"10.3113\/FAI.2007.0654","article-title":"Current concepts review: Hallux valgus part 1: Pathomechanics, clinical assessment, and nonoperative management","volume":"28","author":"Easley","year":"2007","journal-title":"Foot Ankle Int."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"748","DOI":"10.3113\/FAI.2007.0748","article-title":"Current concepts review: Hallux valgus part II: Operative treatment","volume":"28","author":"Easley","year":"2007","journal-title":"Foot Ankle Int."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1177\/1071100720969676","article-title":"Functional and Radiographic Outcomes of Minimally Invasive Intramedullary Nail Device (MIIND) for Moderate to Severe Hallux Valgus","volume":"42","author":"Biz","year":"2020","journal-title":"Foot Ankle Int."},{"key":"ref_10","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_11","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_12","first-page":"138","article-title":"A modification of the Mitchell procedure","volume":"58","author":"Corless","year":"1976","journal-title":"J. Bone Jt. Surg. B"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1177\/107110070202300903","article-title":"Biplanar chevron osteotomy","volume":"23","author":"Nery","year":"2002","journal-title":"Foot Ankle Int."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1177\/107110079401500701","article-title":"Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes","volume":"15","author":"Kitaoka","year":"1994","journal-title":"Foot Ankle Int."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1177\/107110070102200503","article-title":"The reliability of angular measurements in hallux valgus deformities","volume":"22","author":"Coughlin","year":"2001","journal-title":"Foot Ankle Int."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1177\/107110070502600202","article-title":"Correlation of hallux valgus surgical outcome with AOFAS forefoot score and radiological parameters","volume":"26","author":"Thordarson","year":"2005","journal-title":"Foot Ankle Int."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"124","DOI":"10.2106\/00004623-199274010-00016","article-title":"Repair of hallux valgus with a distal soft-tissue procedure and proximal metatarsal osteotomy. A long-term follow-up","volume":"74","author":"Mann","year":"1992","journal-title":"J. Bone Jt. Surgery. Am."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1007\/s11136-007-9192-6","article-title":"Quality-of-life outcome after hallux valgus surgery","volume":"16","author":"Saro","year":"2007","journal-title":"Qual. Life Res."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1007\/s002640100289","article-title":"Surgery for hallux valgus. The expectations of patients and surgeons","volume":"25","author":"Schneider","year":"2001","journal-title":"Int. Orthop."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13047-018-0265-2","article-title":"Footwear choices for painful feet\u2013an observational study exploring footwear and foot problems in women","volume":"11","author":"McRitchie","year":"2018","journal-title":"J. Foot Ankle Res."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1177\/230949900801600121","article-title":"Patient expectations for hallux valgus surgery","volume":"16","author":"Tai","year":"2008","journal-title":"J. Orthop. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.1177\/1071100718783458","article-title":"Foot width changes following hallux valgus surgery","volume":"39","author":"Tenenbaum","year":"2018","journal-title":"Foot Ankle Int."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1177\/1938640019835301","article-title":"Does hallux valgus correction reduce the width of the forefoot?","volume":"13","author":"Panchbhavi","year":"2020","journal-title":"Foot Ankle Spec."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"101717","DOI":"10.1016\/j.foot.2020.101717","article-title":"The quarter-ellipsoid foot: A clinically applicable 3-dimensional composite measure of foot deformation during weight bearing","volume":"46","author":"Fraser","year":"2021","journal-title":"Foot"},{"key":"ref_25","unstructured":"Munoz, N.G.M., Kuruganti, U., and Chester, V. (2021). Age-Related Differences in Foot Structure and Mobility, CMBES."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1177\/107110070402500805","article-title":"Hallux Valgus and First Ray Mobility: A Cadaveric Study","volume":"25","author":"Coughlin","year":"2004","journal-title":"Foot Ankle Int."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/7\/2607\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:07:01Z","timestamp":1760123221000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/7\/2607"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,30]]},"references-count":26,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023,4]]}},"alternative-id":["jcm12072607"],"URL":"https:\/\/doi.org\/10.3390\/jcm12072607","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,30]]}}}