Thirty-eight distal metatarsal osteotomies for hallux valgus in middle-aged patients between the ages of 50 and 67 years were performed over a period of five years. None of the patients could be rated with an excellent result. Good results were noted in only 52.6%. Poor results were attributable to imperfect surgical technique, severity of preoperative deformity, osteoporosis, and preexisting osteoarthritic changes at the first metatarsophalangeal joint.
* Senior Lecturer and Consultant, University Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
** Professor, University Department of Orthopaedic Surgery, Western Infirmary, Glasgow, Scotland.