• Omer Ali Rafiq Barawi Department of Orthopedic Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
  • Abdullah K. Ghafour Shar Teaching Hospital, Sulaimani, Kurdistan Region, Iraq.
  • Abd Ali Muhsin Department of Orthopedic Surgery, College of Medicine, Al-Nahrain University, Baghdad, Iraq.




Hallux valgus, Distal metatarsal osteotomy, Mitchell’s procedure, Metatarsalgia



Hallux Valgus is the commonest foot deformity. It is characterized by lateral deviation of the big toe with the medial shifting of the first metatarsal. Many intrinsic and extrinsic factors are claimed to be a cause and may coexist as multifactorial. Mitchell’s distal metatarsal osteotomy is one of the preliminary operations proposed in managing hallux valgus, with 70% to 90% of satisfactory results.


To evaluate the outcome of Mitchell’s procedure in treating mild to moderate hallux valgus in terms of clinical and radiological outcomes.

Patients and Methods

Sixteen adult patients (26 feet) with mild to moderate hallux valgus were enrolled in this study. They underwent original Mitchell’s step-cut distal osteotomy to correct their hallux valgus


At the last follow-up, overall satisfaction was (81.25%) with three patients unsatisfied due to transfer metatarsagia and reflex sympathetic dystrophy. The mean change in hallux valgus angle and intermetatarsal angle were (17.27°) and (4.47°) respectively. 


Mitchell’s procedure is a distal metatarsal osteotomy which has good results in treating mild to moderate hallux valgus in terms of clinical and radiological appearance and acceptable patient satisfaction. However, transfer metatarsalgia and recurrence of deformity are two more known drawbacks of this procedure.


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How to Cite

Barawi O, Ghafour A, Muhsin A. OUTCOMES OF MITCHELL’S PROCEDURE IN THE TREATMENT OF HALLUX VALGUS. JSMC [Internet]. 2022 Dec. 21 [cited 2024 Jul. 15];12(4):363-9. Available from: https://jsmc.univsul.edu.iq/index.php/jsmc/article/view/jsmc-10380

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