BACKGROUND: The aims of this study were to determine the severity of @entity7529 of the second through fifth rays after shortening of the first ray for correction of @entity4553 and @entity1 satisfaction of the cosmetic results. METHODS: Two hundred and forty metatarsal osteotomies ( @entity2360 as modified by Lindgren and Turan) were evaluated 4.19+/-1.29 years postoperatively. The procedure involved a slightly oblique subcapital osteotomy of the first metatarsal and fixation with one screw. RESULTS: The average decrease in the @entity4553 was 26+/-5 degrees, the 1-2 intermetatarsal angle was 8.4+/-4 degrees, and the average shortening of the first metatarsal was 3.8+/-1.8 mm. Positive correlations were found between @entity7529 of the second through fourth rays and first ray shortening (p<0.001 second ray, p<0.001 third ray, and p<0.001 fourth ray); there was no correlation between the fifth ray and first ray shortening. No correlation was found between a decrease in the @entity4553 or 1-2 intermetatarsal angle and @entity7529 in the second through fifth rays. A positive correlation was detected between postoperative foot alignment and decrease in the @entity4553 (p<0.001) and a negative correlation between postoperative foot alignment and first ray shortening (p<0.01). No correlation was noted between postoperative foot alignment and the 1-2 intermetatarsal angle. CONCLUSION: Excessive shortening of the first metatarsal should be avoided to decrease the occurrence of postoperative transfer @entity7529 . We found a greater @entity1 satisfaction with foot alignment in @entity1 who had a greater decrease in the @entity4553 and less shortening of the first ray.

The effect of first ray shortening in the development of XXXX in the second through fourth rays after metatarsal osteotomy.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity4553 :: ('MESH:D006215', 'Disease') :: ['hallux valgus', 'hallux valgus angle', 'hallux valgus deformity'] @entity7529 :: ('MESH:D037061', 'Disease') :: ['metatarsalgia'] @entity2360 :: ('MESH:D006527', 'Disease') :: ['Wilson osteotomy']
@entity7529 :: (MESH:D037061,Disease) :: ['metatarsalgia']
