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Evidence. Clarity. Practice.

© 2026 OrthoVellum. For educational purposes only.

Not medical advice. Verify clinically important information against current local guidance.

Back to Research
Level IIIMust KnowFoot & AnkleRetrospective Cohort

Evidence brief

Hallux Valgus Surgery

Surgical Correction of Hallux Valgus: Osteotomy Selection

Authors
Robinson AH, Limbers JP
Journal
J Bone Joint Surg Br
Year
2005

Key Findings

  • 1

    Osteotomy selection based on deformity severity

  • 2

    Mild-moderate: distal osteotomies (chevron, Mitchell)

  • 3

    Moderate-severe: diaphyseal osteotomies (Scarf, Ludloff)

  • 4

    Severe: proximal osteotomies or Lapidus

  • 5

    Patient satisfaction 80-90% with appropriate selection

Clinical Implications

Successful hallux valgus surgery requires matching the procedure to the deformity. IMA and HVA measurements guide osteotomy selection.

Teaching Note

Know IMA/HVA thresholds. Mild (HVA<20, IMA<13): chevron. Moderate (HVA 20-40, IMA 13-16): Scarf or Ludloff. Severe (HVA>40, IMA>16): Lapidus or basal. Always assess DMAA, joint congruity, hypermobility. Discuss Scarf vs chevron controversy.

Citation

Robinson AH, Limbers JP. Modern concepts in the treatment of hallux valgus. J Bone Joint Surg Br. 2005;87(8):1038-1045.

PubMed

Evidence Level

III

Level III

Retrospective comparative study or case-control study

Topics

hallux valgusbunionosteotomyScarfchevron

Related Topics

  • Hallux Valgus
  • Bunion Surgery
  • Metatarsal Osteotomy

External Links

View on PubMed

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