Proximal MT Osteotomy Wheeless

Description: Wheeless' Textbook of Orthopaedics
indicated for moderate to severe deformities (HV angle of 13 to 20 deg);
- proximal osteotomy may be combined w/ other hallux valgus reconstructive procedures such as Silver procedure (resection of medial eminence) or a Mcbride type of soft tissue release;
- inadvertent dorsiflexion of the first metatarsal shold be avoided because this dorsiflexion will cause a dorsal bunion and transfer metatarsalgia to the second metatarsal;