Proximal osteotomy in hallux valgus, long-term results of 167 operated feet: A retrospective study

A total of 167 feet in 125 patients were treated with a proximal osteotomy of the first metatarsal for hallux valgus. In addition, in 115 feet a resection of the base of the proximal phalanx was conducted, and in 25 feet the head of some lesser metatarsal bone was resected. Eight years (range 5-10 years) postoperatively the patients were sent a questionnaire concerning the present state of their feet. In all, 105 patients (142 feet) replied, and 63% stated that they felt no pain in their feet at all. Indeed, 86% of the patients indicated that, everything considered, the operation was worthwhile. The most common complaint was the difficulty of finding shoes to fit; 22.5% of the patients stated that they had a hard time with this. The average preoperative metatarsophalangeal angle was 38°, reduced by 22° postoperatively. The average preoperative first intermetatarsal angle was 15°, reduced by 5° after the operation. In the statistical analysis, no correlation between the preoperative body mass index, the hallux angle, the first intermetatarsal angle, the reduction achieved in the above mentioned angles by the operation, and patient satisfaction was found.