Proximal 1st Metatarsal Osteotomy
Proximal metatarsal osteotomies work well to achieve reliable deformity correction in patients with a large 1st-2nd intermetatarsal angle. They may help minimize rotation, shortening, and elevation of the metatarsal. A number of osteotomy techniques have been described, including Ludloff, Mau, proximal crescentic, proximal chevron, scarf, opening wedge, and closing wedge, among others.