Over 400 operations have been done for hallux valgus with metatarsus primus varus in which a distal first metatarsal osteotomy with lateral displacement and angulation of the head was used. This operation was not done in patients who had simple hallux valgus without metatarsus primus varus.
Fifty-nine patients who had had 100 operations were examined and x-rayed in 1955. The results were generally satisfactory in eighty-two per cent of the operations. It is felt that this operation has merit when done correctly in a suitable patient. The authors plan to continue the use of this operation, and feel that the results can be improved by attention to technical details and by proper selection of patients.