Mitchell's osteotomy
Last reviewed 01/2018
This is a distal osteotomy of the first metatarsal bone. It is commonly employed in the treatment of hallux valgus.
The procedure entails:
- lateral displacement of the distal end of the first metatarsal
- slight shortening of the bone
- tightening of the medial soft tissues to correct the valgus angle at the first metatarsophalangeal joint
Care must be taken to prevent dorsal angulation of the distal fragment of bone as this may cause pain on walking.