A modified Scarf Osteotomy to correct hallux valgus is demostrated. When MTP joint is severely ... read more ↘ deformed, a procedure that brings back the Metatarsal head above the sesamoid plate may produce overpressure on joint surfaces causing with time their damage and sometimes stiffness. A method to avoid these complicances is to shorten the first ray while lateral translation of metatarsal head is performed. This allows an easier joint reduction and helps to restore a wider Hallux dorsiflexion. It’s possible to evaluate the amount of required shortening on Xrays dorso-plantar view just utilising as reference point the most proximal part of the Phalangeal Base of the Hallux (Ms - Metatarsal shortening Point). The lesser Metatarsals have to be shortened consequently.
