{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T06:15:49Z","timestamp":1788243349859,"version":"build-2803163510"},"reference-count":93,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med. Sci.","Medical Sciences"],"abstract":"<jats:p>Hallux valgus recurrence remains one of the most important causes of unsatisfactory outcomes following corrective surgery, with reported rates varying widely because of differences in patient selection, surgical techniques, follow-up duration, and recurrence definitions. Although numerous operative procedures have been described, growing evidence indicates that durable correction depends less on the specific procedure performed than on appropriate patient selection and complete correction of the underlying deformity. A structured literature search was conducted in PubMed from database inception to 4 August 2026 and supplemented by reference-list screening. Adult primary surgical studies reporting recurrence or factors associated with recurrence were eligible when they provided an explicit recurrence definition and at least 12 months of follow-up. Forty candidate primary studies were assessed in full text, of which 30 were included in the core evidence synthesis. Findings were synthesized narratively within predefined domains covering recurrence definitions, preoperative factors, procedure selection, technical correction, postoperative alignment, patient-related factors, and clinical consequences. Particular attention is given to the role of three-dimensional deformity correction, soft-tissue balancing, sesamoid realignment, and radiographic parameters including the hallux valgus angle, intermetatarsal angle, distal metatarsal articular angle, and metatarsal rotation. Contemporary surgical techniques, including Chevron, Scarf, Lapidus, first metatarsophalangeal joint fusion, and minimally invasive procedures, are reviewed with respect to their indications, recurrence mechanisms, and technical considerations. Based on the available evidence, recurrence prevention requires a comprehensive strategy integrating accurate preoperative assessment, procedure selection tailored to the underlying pathology, meticulous surgical technique, and structured postoperative follow-up. Standardized recurrence definitions and greater use of weight-bearing three-dimensional imaging may further improve future research and clinical decision making.<\/jats:p>","DOI":"10.3390\/medsci14050537","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:45:13Z","timestamp":1788241513000},"page":"537","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors and Prevention of Hallux Valgus Recurrence After Primary Surgical Correction: A Structured Narrative Review"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1154-7145","authenticated-orcid":false,"given":"Awad","family":"Dmour","sequence":"first","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9587-6479","authenticated-orcid":false,"given":"Ahmed","family":"Mansour","sequence":"additional","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aya","family":"Riba","sequence":"additional","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6717-3196","authenticated-orcid":false,"given":"Liliana","family":"Savin","sequence":"additional","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihaela-Camelia","family":"T\u00eernovanu","sequence":"additional","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drago\u0219-Cristian","family":"Popescu","sequence":"additional","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0218tefan-Drago\u0219","family":"T\u00eernovanu","sequence":"additional","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9814-7742","authenticated-orcid":false,"given":"Bogdan","family":"Puha","sequence":"additional","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1003-0719","authenticated-orcid":false,"given":"Ilie","family":"Onu","sequence":"additional","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5637-2095","authenticated-orcid":false,"given":"Norin","family":"Forna","sequence":"additional","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2806-0649","authenticated-orcid":false,"given":"Paul-Dan","family":"Sirbu","sequence":"additional","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca-Ana","family":"Dmour","sequence":"additional","affiliation":[{"name":"Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1530\/EOR-23-0093","article-title":"Recurrence rates with long-term follow-up after hallux valgus surgical treatment using shaft metatarsal osteotomies: A systematic review and meta-analysis","volume":"9","author":"Lalevee","year":"2024","journal-title":"EFORT Open Rev."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Ezzatvar, Y., L\u00f3pez-Bueno, L., Fuentes-Aparicio, L., and Due\u00f1as, L. (2021). Prevalence and predisposing factors for recurrence after hallux valgus surgery: A systematic review and meta-analysis. J. Clin. Med., 10.","DOI":"10.3390\/jcm10245753"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.2106\/JBJS.16.00980","article-title":"Recurrence of Hallux Valgus Can Be Predicted from Immediate Postoperative Non-Weight-Bearing Radiographs","volume":"99","author":"Park","year":"2017","journal-title":"J. Bone Jt. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1177\/1071100715608372","article-title":"Radiographic Recurrence of Deformity After Hallux Valgus Surgery in Patients With Metatarsus Adductus","volume":"37","author":"Aiyer","year":"2016","journal-title":"Foot Ankle Int."},{"key":"ref_5","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_6","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1002\/acr.22040","article-title":"High heritability of hallux valgus and lesser toe deformities in adult men and women","volume":"65","author":"Hannan","year":"2013","journal-title":"Arthritis Care Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1136\/jmedgenet-2015-103142","article-title":"Genome-wide association meta-analyses to identify common genetic variants associated with hallux valgus in Caucasian and African Americans","volume":"52","author":"Hsu","year":"2015","journal-title":"J. Med. Genet."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.fas.2017.09.006","article-title":"Is generalized ligamentous laxity a prognostic factor for recurred hallux valgus deformity?","volume":"25","author":"Cho","year":"2019","journal-title":"Foot Ankle Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2738","DOI":"10.1177\/03635465241310145","article-title":"The Effect of Sex Hormones on Joint Ligament Properties: A Systematic Review and Meta-analysis","volume":"53","author":"Gilmer","year":"2025","journal-title":"Am. J. Sports Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.fas.2024.09.003","article-title":"Hallux valgus and pes planus: Correlation analysis using deep learning-assisted radiographic angle measurements","volume":"31","author":"Choi","year":"2025","journal-title":"Foot Ankle Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1053\/j.jfas.2019.09.037","article-title":"Relationship Between Hallux Valgus and Pes Planus: Real or Fiction?","volume":"59","author":"Erdem","year":"2020","journal-title":"J. Foot Ankle Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1016\/j.fas.2018.06.002","article-title":"Increased recurrence in Scarf osteotomy for mild & moderate hallux valgus with Meary\u2019s line disruption","volume":"25","author":"Faroug","year":"2019","journal-title":"Foot Ankle Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"101747","DOI":"10.1016\/j.foot.2020.101747","article-title":"Comparison of Scarf-Akin osteotomy with Lapidus-Akin fusion in cases of Hallux Valgus with a disrupted Meary\u2019s line: A case series study","volume":"49","author":"Thomas","year":"2021","journal-title":"Foot"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1007\/s00402-011-1447-6","article-title":"Salvage of recurrence after failed surgical treatment of hallux valgus","volume":"132","author":"Duan","year":"2012","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.jos.2020.12.013","article-title":"Risk factors for recurrence of hallux valgus deformity after minimally invasive distal linear metatarsal osteotomy","volume":"27","author":"Hagio","year":"2022","journal-title":"J. Orthop. Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1053\/j.jfas.2019.01.014","article-title":"Relationships Between First Metatarsal and Sesamoid Positions and Other Clinically Relevant Parameters for Hallux Valgus Surgery","volume":"58","author":"Shibuya","year":"2019","journal-title":"J. Foot Ankle Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1669","DOI":"10.1007\/s00264-013-1959-5","article-title":"Distal soft tissue procedure in hallux valgus surgery: Biomechanical background and technique","volume":"37","author":"Schneider","year":"2013","journal-title":"Int. Orthop."},{"key":"ref_18","first-page":"e435","article-title":"Correction of Recurred Hallux Valgus Deformity by Endoscopic Distal Soft Tissue Procedure","volume":"6","author":"Lui","year":"2017","journal-title":"Arthrosc. Tech."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1186\/s13018-024-05007-0","article-title":"Chevron osteotomy and scarf osteotomy for hallux valgus angle and intermetatarsal angle correction: A systematic review and meta-analysis of randomized controlled trials","volume":"19","author":"Peng","year":"2024","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.foot.2016.09.002","article-title":"Outcomes in chevron osteotomy for Hallux Valgus in a large cohort","volume":"29","author":"Reijman","year":"2016","journal-title":"Foot"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"159","DOI":"10.4055\/cios21272","article-title":"Relationship between Foot Width Reduction and Clinical Outcomes after Chevron Osteotomy for Hallux Valgus Deformity","volume":"15","author":"Ahn","year":"2023","journal-title":"Clin. Orthop. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1177\/1071100716639574","article-title":"Long-term Follow-up of a Randomized Controlled Trial Comparing Scarf to Chevron Osteotomy in Hallux Valgus Correction","volume":"37","author":"Jeuken","year":"2016","journal-title":"Foot Ankle Int."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Ray, J.J., Friedmann, A.J., Hanselman, A.E., Vaida, J., Dayton, P.D., Hatch, D.J., Smith, B., and Santrock, R.D. (2019). Hallux Valgus. Foot Ankle Orthop., 4.","DOI":"10.1177\/2473011419838500"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.cpm.2013.12.003","article-title":"Proximal phalangeal osteotomies for hallux abductovalgus deformity","volume":"31","author":"Rettedal","year":"2014","journal-title":"Clin. Podiatr. Med. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1177\/1071100716670389","article-title":"Correction of Hallux Valgus Interphalangeus With an Osteotomy of the Distal End of the Proximal Phalanx (Distal Akin Osteotomy)","volume":"38","year":"2017","journal-title":"Foot Ankle Int."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1186\/s13018-023-03908-0","article-title":"Scarf osteotomy for hallux valgus surgery: Determining indications for an additional Akin osteotomy","volume":"18","author":"Thever","year":"2023","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_27","first-page":"e57026","article-title":"Akin Osteotomy: A Review of Modern Fixation Techniques","volume":"16","author":"Eldessouky","year":"2024","journal-title":"Cureus"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/1757-1146-3-2","article-title":"Combined rotation scarf and Akin osteotomies for hallux valgus: A patient focussed 9 year follow up of 50 patients","volume":"3","author":"Kilmartin","year":"2010","journal-title":"J. Foot Ankle Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1007\/s11999-010-1510-6","article-title":"Outcomes after scarf osteotomy for treatment of adult hallux valgus deformity","volume":"469","author":"Adam","year":"2011","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1053\/j.jfas.2017.06.026","article-title":"Retrospective Analysis of the Akin Osteotomy","volume":"57","author":"Douthett","year":"2018","journal-title":"J. Foot Ankle Surg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1007\/s00064-008-1503-8","article-title":"The Akin procedure as closing wedge osteotomy for the correction of a hallux valgus interphalangeus deformity","volume":"20","author":"Arnold","year":"2008","journal-title":"Oper. Orthop. Traumatol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/j.fas.2020.08.009","article-title":"Treatment of hallux valgus by Scarf osteotomy\u2014Rates and reasons for recurrence and rates of avascular necrosis: A systematic review","volume":"27","author":"Clarke","year":"2021","journal-title":"Foot Ankle Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.fcl.2014.02.001","article-title":"Scarf osteotomy","volume":"19","author":"Molloy","year":"2014","journal-title":"Foot Ankle Clin."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e249410","DOI":"10.1590\/1413-785220223004e249410","article-title":"Scarf osteotomy for hallux valgus correction: Radiological and clinical analysis","volume":"30","author":"Siqueira","year":"2022","journal-title":"Acta Ortop. Bras."},{"key":"ref_35","first-page":"e4","article-title":"Z-osteotomy in hallux valgus: Clinical and radiological outcome after Scarf osteotomy","volume":"1","author":"Schmidt","year":"2009","journal-title":"Orthop. Rev."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.fcl.2024.04.008","article-title":"SCARF Osteotomy: Where Does It Come from and Where Does It Go?","volume":"30","author":"Bock","year":"2025","journal-title":"Foot Ankle Clin."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Donantoni, M., Santini, S., Martinelli, D., and Marinozzi, A. (2025). Surgical Techniques for Lapidus Arthrodesis: Approaches, Indications, and Outcomes. J. Clin. Med., 14.","DOI":"10.3390\/jcm14134591"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1177\/19386400221093859","article-title":"Utilization of the Modified Lapidus Procedure for Correction of Moderate to Severe Hallux Valgus Deformity With Increased Distal Metatarsal Articular Angle","volume":"17","author":"Shah","year":"2024","journal-title":"Foot Ankle Spec."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1053\/j.jfas.2022.02.014","article-title":"First Tarsometatarsal Joint Arthrodesis for Hallux Valgus With and Without Intermetatarsal Screw Fixation: A Comparison of Correction and Maintenance of Correction","volume":"61","author":"Jones","year":"2022","journal-title":"J. Foot Ankle Surg."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1530\/EOR-22-0043","article-title":"Iatrogenic transfer metatarsalgia after hallux valgus surgery: A comprehensive treatment algorithm","volume":"7","author":"Chong","year":"2022","journal-title":"EFORT Open Rev."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.fcl.2014.02.005","article-title":"The modified Lapidus fusion","volume":"19","author":"Schmid","year":"2014","journal-title":"Foot Ankle Clin."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1053\/j.jfas.2018.07.012","article-title":"Hallux Valgus Correction With Rotational Scarf Combined With Adductor Hallucis Tendon Transposition","volume":"58","author":"Boychenko","year":"2019","journal-title":"J. Foot Ankle Surg."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/j.cpm.2020.03.010","article-title":"Revision of Malaligned Lapidus and Nonunited Lapidus","volume":"37","author":"Buddecke","year":"2020","journal-title":"Clin. Podiatr. Med. Surg."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"De Marchi, F., Crippa, I.A., Bobba, A., Pudda, A., Anghilieri, F.M., Verde, F., Familiari, F., and Monti, L. (2025). Minimally Invasive Lapidus Arthrodesis Associated with Distal Osteotomy of M1: A Combined Procedure for Hallux Valgus Correction. J. Pers. Med., 15.","DOI":"10.3390\/jpm15030081"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"400","DOI":"10.3113\/FAI.2012.0400","article-title":"Combination of first metatarsophalangeal joint arthrodesis and proximal correction for severe hallux valgus deformity","volume":"33","author":"Rippstein","year":"2012","journal-title":"Foot Ankle Int."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1177\/18632521231200060","article-title":"Arthrodesis of the first metatarsophalangeal joint for severe hallux valgus in adolescents with cerebral palsy: A retrospective comparison study of three surgical techniques","volume":"17","author":"Ye","year":"2023","journal-title":"J. Child. Orthop."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"e20","DOI":"10.2106\/JBJS.ST.O.00009","article-title":"Arthrodesis of the Hallux Metatarsophalangeal Joint","volume":"5","author":"Wagner","year":"2015","journal-title":"JBJS Essent. Surg. Tech."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.fcl.2014.02.006","article-title":"First metatarsophalangeal arthrodesis for hallux valgus","volume":"19","author":"Wood","year":"2014","journal-title":"Foot Ankle Clin."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1177\/1938640011402822","article-title":"Complications of the Weil Osteotomy","volume":"4","author":"Highlander","year":"2011","journal-title":"Foot Ankle Spec."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1177\/107110070002100502","article-title":"The Weil Osteotomy of the Lesser Metatarsals: A Clinical and Pedobarographic Follow-up Study","volume":"21","author":"Vandeputte","year":"2000","journal-title":"Foot Ankle Int."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.1007\/s00264-013-1977-3","article-title":"Hallux valgus and hypermobility of the first ray: Facts and fiction","volume":"37","author":"Doty","year":"2013","journal-title":"Int. Orthop."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1177\/107110070402500902","article-title":"Floating-Toe Deformity as a Complication of the Weil Osteotomy","volume":"25","author":"Migues","year":"2004","journal-title":"Foot Ankle Int."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Ji, L., Wang, K., Ding, S., Sun, C., Sun, S., and Zhang, M. (2022). Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis. Front. Surg., 9.","DOI":"10.3389\/fsurg.2022.843410"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"5507","DOI":"10.1007\/s00402-023-04849-3","article-title":"Minimally invasive Chevron Akin (MICA) osteotomy for severe hallux valgus","volume":"143","author":"Nunes","year":"2023","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1177\/10711007221112088","article-title":"Cohort Comparison of Radiographic Correction and Complications Between Minimal Invasive and Open Lapidus Procedures for Hallux Valgus","volume":"43","author":"Cardoso","year":"2022","journal-title":"Foot Ankle Int."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.2106\/JBJS.20.01178","article-title":"Third-Generation Minimally Invasive Chevron and Akin Osteotomies (MICA) in Hallux Valgus Surgery: Two-Year Follow-up of 292 Cases","volume":"103","author":"Lewis","year":"2021","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1007\/s43465-023-00917-3","article-title":"Third-Generation Minimally Invasive Chevron Akin Osteotomy for Hallux Valgus: Three-Year Outcomes","volume":"57","author":"Yousaf","year":"2023","journal-title":"Indian J. Orthop."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1016\/j.fas.2022.07.006","article-title":"The percutaneous learning curve of 3rd generation minimally-invasive Chevron and Akin osteotomy (MICA)","volume":"28","author":"Toepfer","year":"2022","journal-title":"Foot Ankle Surg."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1177\/1071100716656440","article-title":"Minimally Invasive and Open Distal Chevron Osteotomy for Mild to Moderate Hallux Valgus","volume":"37","author":"Brogan","year":"2016","journal-title":"Foot Ankle Int."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"24730114231224725","DOI":"10.1177\/24730114231224725","article-title":"MICA Procedure vs Open Chevron Osteotomy for Hallux Valgus Correction: A Prospective Cohort Study","volume":"9","author":"Balesar","year":"2024","journal-title":"Foot Ankle Orthop."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1097\/CORR.0000000000002471","article-title":"Does Minimally Invasive Surgery Provide Better Clinical or Radiographic Outcomes Than Open Surgery in the Treatment of Hallux Valgus Deformity? A Systematic Review and Meta-analysis","volume":"481","author":"Alimy","year":"2023","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1053\/j.jfas.2019.03.021","article-title":"Comparison of Minimally Invasive and Traditionally Open Surgeries in Correction of Hallux Valgus: A Meta-Analysis","volume":"59","author":"Lu","year":"2020","journal-title":"J. Foot Ankle Surg."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"24730114221112103","DOI":"10.1177\/24730114221112103","article-title":"Early Radiographic Outcomes of Minimally Invasive Chevron Bunionectomy Compared to the Modified Lapidus Procedure","volume":"7","author":"Cody","year":"2022","journal-title":"Foot Ankle Orthop."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1781","DOI":"10.1007\/s00264-013-2023-1","article-title":"Comparison of open lateral release and transarticular lateral release in distal chevron metatarsal osteotomy for hallux valgus correction","volume":"37","author":"Ahn","year":"2013","journal-title":"Int. Orthop."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"e15969","DOI":"10.1097\/MD.0000000000015969","article-title":"Comparison of longitudinal and inverted L-type capsulorrhaphy in hallux valgus correction surgery","volume":"98","author":"Sever","year":"2019","journal-title":"Medicine"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1186\/s13018-023-03799-1","article-title":"Comparison of modified U-shaped and inverted L-shaped medial capsulorrhaphy in hallux valgus surgery: A prospective, randomized controlled trial of 75 patients","volume":"18","author":"Wei","year":"2023","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1053\/j.jfas.2023.05.003","article-title":"How Adductor Hallucis Reattachment Affects Outcomes Following Scarf Osteotomy in Hallux Valgus Correction: A 4- to 8-Year Follow-Up Retrospective Comparative Study","volume":"62","author":"Tharmviboonsri","year":"2023","journal-title":"J. Foot Ankle Surg."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"22222","DOI":"10.7547\/22-222","article-title":"Effect of Intraoperative Tibial Sesamoid Position on Hallux Valgus Recurrence and Pain","volume":"115","author":"King","year":"2025","journal-title":"J. Am. Podiatr. Med. Assoc."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.fcl.2018.01.003","article-title":"Sesamoid Position in Hallux Valgus in Relation to the Coronal Rotation of the First Metatarsal","volume":"23","author":"Kim","year":"2018","journal-title":"Foot Ankle Clin."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1177\/10711007221140868","article-title":"Relationship Between Hallux Valgus Recurrence and Sesamoid Position on Anteroposterior Standing Radiographs After Distal Chevron Metatarsal Osteotomy","volume":"44","author":"Kim","year":"2023","journal-title":"Foot Ankle Int."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1177\/1938640016685147","article-title":"Percutaneous Hallux Valgus Surgery Without Distal Metatarsal Articular Angle Correction","volume":"10","author":"Candel","year":"2017","journal-title":"Foot Ankle Spec."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.2106\/JBJS.H.00796","article-title":"Postoperative Incomplete Reduction of the Sesamoids as a Risk Factor for Recurrence of Hallux Valgus","volume":"91","author":"Okuda","year":"2009","journal-title":"J. Bone Jt. Surg."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1177\/10711007211064609","article-title":"Imaging Findings and First Metatarsal Rotation in Hallux Valgus","volume":"43","author":"Najefi","year":"2022","journal-title":"Foot Ankle Int."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1177\/10711007211046938","article-title":"Association of First Metatarsal Pronation Correction With Patient-Reported Outcomes and Recurrence Rates in Hallux Valgus","volume":"43","author":"Conti","year":"2022","journal-title":"Foot Ankle Int."},{"key":"ref_75","first-page":"61","article-title":"Randomised control trial on the optimal duration of non-weight-bearing walking after hallux valgus surgery","volume":"23","author":"Ling","year":"2020","journal-title":"J. Orthop. Transl."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.1053\/j.jfas.2018.05.012","article-title":"Early Weight-Bearing After Arthrodesis of the First Metatarsal-Phalangeal Joint: A Systematic Review of the Incidence of Non-Union","volume":"57","author":"Crowell","year":"2018","journal-title":"J. Foot Ankle Surg."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"e70083","DOI":"10.1002\/jfa2.70083","article-title":"Preoperative and Postoperative Physical and Mechanical Rehabilitation Interventions in Hallux Valgus: A Systematic Review","volume":"18","author":"Gumuskaya","year":"2025","journal-title":"J. Foot Ankle Res."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"934","DOI":"10.2522\/ptj.20080375","article-title":"Rehabilitation After Hallux Valgus Surgery: Importance of Physical Therapy to Restore Weight Bearing of the First Ray During the Stance Phase","volume":"89","author":"Schuh","year":"2009","journal-title":"Phys. Ther."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1093\/pch\/pxab074","article-title":"Pediatric hallux valgus: An overview of history, examination, conservative, and surgical management","volume":"27","author":"Seidenstein","year":"2022","journal-title":"Paediatr. Child Health"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"100175","DOI":"10.1016\/j.jposna.2025.100175","article-title":"Minimally Invasive Surgery for Juvenile Hallux Valgus","volume":"11","author":"Lee","year":"2025","journal-title":"J. Pediatr. Orthop. Soc. N. Am."},{"key":"ref_81","doi-asserted-by":"crossref","unstructured":"Wong, D.W.-C., Wang, Y., Chen, T.L.-W., Yan, F., Peng, Y., Tan, Q., Ni, M., Leung, A.K.-L., and Zhang, M. (2020). Finite Element Analysis of Generalized Ligament Laxity on the Deterioration of Hallux Valgus Deformity (Bunion). Front. Bioeng. Biotechnol., 8.","DOI":"10.3389\/fbioe.2020.571192"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"1638","DOI":"10.1177\/1071100713500654","article-title":"Radiographic and Clinical Outcomes of Joint-preserving Procedures for Hallux Valgus in Rheumatoid Arthritis","volume":"34","author":"Chao","year":"2013","journal-title":"Foot Ankle Int."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1080\/14397595.2016.1209817","article-title":"Appearance of hindfoot valgus deformity and recurrence of hallux valgus in the very early period after hallux valgus surgery in a poorly controlled rheumatoid arthritis case: A case report","volume":"29","author":"Hirao","year":"2019","journal-title":"Mod. Rheumatol."},{"key":"ref_84","doi-asserted-by":"crossref","unstructured":"Takakubo, Y., Wanezaki, Y., Oki, H., Naganuma, Y., Shibuya, J., Honma, R., Suzuki, A., Satake, H., and Takagi, M. (2021). Forefoot Deformities in Patients with Rheumatoid Arthritis: Mid- to Long-Term Result of Joint-Preserving Surgery in Comparison with Resection Arthroplasty. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182111257"},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"e70212","DOI":"10.1002\/ajpa.70212","article-title":"Variation in the Angle of the First Pedal Ray Relative to the Midline of the Foot by Sex and Parity History","volume":"189","author":"Whitman","year":"2026","journal-title":"Am. J. Biol. Anthropol."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"22202","DOI":"10.7547\/22-202","article-title":"Effect of Foot Anthropometric Measurements on Pain and Functional Disability of Pregnant and Nonpregnant Women","volume":"115","author":"Koca","year":"2025","journal-title":"J. Am. Podiatr. Med. Assoc."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"e20.00091","DOI":"10.5435\/JAAOSGlobal-D-20-00091","article-title":"Metatarsal Pronation in Hallux Valgus Deformity: A Review","volume":"4","author":"Wagner","year":"2020","journal-title":"JAAOS Glob. Res. Rev."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1053\/j.jfas.2023.11.014","article-title":"Radiological Analysis of the Syndesmosis Concept in Metatarsus Primus Varus and Hallux Valgus Deformities Recurrence Prevention","volume":"63","author":"Wu","year":"2024","journal-title":"J. Foot Ankle Surg."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1007\/s00264-018-4138-x","article-title":"Minimally invasive surgery for hallux valgus: A systematic review of current surgical techniques","volume":"43","author":"Malagelada","year":"2019","journal-title":"Int. Orthop."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.fcl.2020.05.001","article-title":"Minimally Invasive Hallux Valgus Surgery\u2014A Systematic Review and Assessment of State of the Art","volume":"25","author":"Jeyaseelan","year":"2020","journal-title":"Foot Ankle Clin."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"104.E1","DOI":"10.1053\/j.jfas.2026.02.009","article-title":"Outcomes of minimally invasive versus open hallux valgus surgical correction: A systematic review and fragility analysis","volume":"65","author":"Zverev","year":"2026","journal-title":"J. Foot Ankle Surg."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"4745","DOI":"10.1007\/s00402-024-05523-y","article-title":"Patient-reported outcome measures in studies on hallux valgus surgery: What should be assessed","volume":"144","author":"Spindler","year":"2024","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.fas.2014.11.004","article-title":"Patient-reported outcome measures in hallux valgus surgery. A review of literature","volume":"21","author":"Schrier","year":"2015","journal-title":"Foot Ankle Surg."}],"container-title":["Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-3271\/14\/5\/537\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:51:02Z","timestamp":1788241862000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-3271\/14\/5\/537"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":93,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["medsci14050537"],"URL":"https:\/\/doi.org\/10.3390\/medsci14050537","relation":{},"ISSN":["2076-3271"],"issn-type":[{"value":"2076-3271","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]}}}