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The main objective of metatarsal osteotomies is to decrease the intermetatarsal angle. Distal, shaft and proximal osteotomies have been defined based on the osteotomy site. Distal osteotomies mainly used for mild deformities and proximal osteotomies are suitable for severe deformities. Metatarsal shaft osteotomies may be used for all mild, moderate and severe cases. 

There is still no ideal osteotomy type for hallux valgus correction. Metatarsal shaft osteotomies have greater capacity for the correction of mild, moderate and severe hallux valgus deformity. All metatarsal shaft osteotomies and their modifications have good clinical results. Their high osteotomy contact area and practical fixation are the other advantages. All metatarsal osteotomies as so the shaft osteotomies have also some disadvantages. Appropriate technical applications and new improvements may provide higher success to metatarsal shaft osteotomies.  Newer modifications may decrease the complications and improve union of the osteotomy.