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Related Experiment Video

Updated: Feb 11, 2026

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
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How I Use a Three-Dimensional Approach to Correct Hallux Valgus with a Distal Metatarsal Osteotomy.

Daniel M G Winson1, Anthony Perera1

  • 1Trauma and Orthopaedic Department, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK.

Foot and Ankle Clinics
|May 7, 2018
PubMed
Summary

Uniplanar osteotomy shows promise for correcting hallux valgus deformities. New research suggests focusing correction on soft tissue imbalance rather than metatarsal rotation.

Keywords:
Metatarsal osteotomyMinimally invasive techniqueWeight-bearing CT

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery
  • Biomechanics

Background:

  • Hallux valgus involves multiplanar deformity.
  • The role of uniplanar osteotomy is emerging.
  • Preexisting metatarsal pronation is debated.

Purpose of the Study:

  • To evaluate the role of uniplanar osteotomy in hallux valgus.
  • To address the concept of preexisting metatarsal pronation.
  • To report a minimally invasive technique for multiplanar correction.

Main Methods:

  • Review of existing literature on hallux valgus.
  • Analysis of recent weight-bearing computed tomography (CT) studies.
  • Description of a senior author's minimally invasive surgical technique.

Main Results:

  • Recent weight-bearing CT studies challenge traditional views on metatarsal rotation.
  • These studies indicate minimal to no rotation of the metatarsal.
  • Correction should target soft tissue imbalance at specific joints.

Conclusions:

  • Uniplanar osteotomy is a promising concept for hallux valgus.
  • Correction strategies should focus on tarsometatarsal and metatarsophalangeal joint imbalances.
  • A minimally invasive technique for this correction is presented.