Evaluation of Wagdy's technique for treatment of hallux valgus by double-V osteotomy.

Seventy-nine feet in 71 patients with hallux valgus were treated by double-V Wagdy osteotomy of the first metatarsal head. Sixty-eight per cent were totally free of pain with acceptable cosmetic appearance. Excellent and good results were obtained in 97.5% of the cases. The mean postoperative decrease of the intermetatarsal angle was 1.8 degrees and of the hallux valgus angle 22 degrees. The operation is technically simple and stable without internal fixation. It restores the length of the hallux and reduces the possible complications of nonunion, avascular necrosis, shortening of the first metatarsal, and appearance of new bone formation at the medial aspect of the osteotomy site.