Figure 23.

Pre- and post-operative weight-bearing AP radiographs following an Akin first metatarsal osteotomy (with additional 2nd and 3rd metatarsal osteotomies) in a 39 y/o male patient. Despite previous attempted correction of the HAV deformity with a distal first metatarsal osteotomy, this patient continued to have symptoms and radiographic evidence of an increased HAA. This was corrected surgically with the Akin phalangeal osteotomy with clinical and radiographic correction of the deformity. This was fixated with a single screw.