Avascular necrosis after first metatarsal head osteotomies

Thirty patients who were surgically treated for hallux valgus by first metatarsal head osteotomies between 1975 and 1980 were reviewed. The average follow-up was 41 months, with the longest being 78 months and the shortest 16 months. Radiographs were obtained to determine if avascular necrosis of the first metatarsal head had occurred. Two cases of avascular necrosis were discovered.