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Continued nonsurgical management
0%
0/4
Austin Chevron osteotomy
25%
1/4
Biplanar distal first metatarsal Chevron osteotomy
50%
2/4
Proximal first metatarsal osteotomy
Lapidus procedure
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The hallux valgus deformity consists of a congruent joint with a moderately severe abnormal distal metatarsal articular angle (DMAA). As such, the procedure that will best correct the deformity is a biplanar distal first metatarsal Chevron osteotomy. The patient has undergone an extended course of nonsurgical management with multiple modalities; therefore, further nonsurgical management is unlikely to relieve his pain. An Austin Chevron osteotomy will not correct the abnormal DMAA. He does not have an increased 1-2 intermetatarsal angle so a proximal first metatarsal osteotomy will not produce the desired correction. No hypermobility of the first tarsometatarsal joint is noted so a Lapidus procedure is not indicated.
1.4
(26)
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