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Abstract Introduction: In the moderate and severe cases of hallux valgus with metatarsus valgus, one of the most important parts of surgical technique is proximal metatarsal osteotomy. Objective: In this study, the results of a distal soft tissue procedure and a medial open wedge proximal metatarsal osteotomy were reviewed. Materials and Methods: In this study we operated 22 feet (16 patients) with moderate or severe hallux valgus . In all the patients distal soft tissue procedure were done then with the b::union:: part of the metatarsal head medial open wedge proximal metatarsal osteotomy were done and fixed. Average follow up period was 13 months. Results: 13 patients were female. At follow up 16 feet were free from pain at the first metatarsophalyngeal joint. In 6 feet the pain was improved but persisted. The mean hallux valgus and intermetatarsal angles were 38 and 18 before and 13 and 6 after surgery respectively. The postoperative hallux valgus and intermetatarsal angles in patients who had pain at the first metatarsophalyngeal joint after surgery were greater than those in patients without pain after surgery. Conclusion: This procedure corrects moderate and severe hallux valgus deformity and relieves the symptoms effectively, but careful attention should be paid to the surgical technique to obtain consistent and satisfactory results.

Keywords: Hallux Valgus, Metatarsal Bones, Metatarsus, Osteotomy, Tarsal Joints

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