First metatarsal head osteotomies for the correction of hallux abducto valgus.

An array of distal first metatarsal osteotomies has been described over the decades for the correction of hallux valgus. No one procedure is proficient in correcting all forms and severities of hallux valgus deformities. To optimize results, it is imperative for the surgeon to match a procedure and its modifications to the patient's deformity. The dorsal long arm chevron osteotomy stands at the forefront for correction of mild to moderate hallux abductovalgus. The results with this specific osteotomy are predictable; it allows for early ambulation, and it is easily modified to compensate for the deformity at hand.