In our retrospective study, we report the objective results of the Mau
osteotomy in the treatment of
hallux valgus. We reviewed the results of 24 cases of moderate to severe
hallux valgus deformities corrected with the Mau
osteotomy of the first metatarsal combined with a distal soft-tissue procedure. Follow-up was possible in 24 cases. Preoperatively the mean
hallux valgus and first intermetatarsal angles were 31.3 degrees and 16.6 degrees respectively, and were corrected postoperatively to an average of 13.00 degrees+/-7.15 degrees and 9.80 degrees+/-2.43 degrees respectively (P< .001). In the sagittal plane, the first metatarsal was shortened by an average of 2.00 mm. Two (8.3%) cases had dorsal elevation of the
osteotomy fragment. Complications included 3 recurrences of the
deformity, 1 frank nonunion, 8 dorsal cortical nonunions, 5 cases of undercorrection, and 1 case of broken hardware that was present in the nonunion that went on to revision. There were no superficial or deep
infections, and no cases of transfer
metatarsalgia were noted. In this series, the use of an oblique first metatarsal
osteotomy with a dorsal shelf resulted in reliable and powerful correction of the first intermetatarsal angle in patients with moderate to severe
hallux valgus. Particular attention should be paid to severe IM angles and the possibility of undercorrections. Despite ambulation postoperatively, the Mau
osteotomy minimized dorsal malunion and the incidence of transfer
metatarsalgia.
LEVEL OF CLINICAL EVIDENCE: 4.