Moderate to severe hallux valgus deformities associated with a wide first intermetatarsal angle require a first metatarsal osteotomy for adequate correction. A variety of procedures have been introduced such as the crescentic, chevron, scarf, closing or opening wedge osteotomies of the first metatarsal base, and the Ludloff and Mau procedures.7,8,10,15,16,17,24,27 Recently the Ludloff osteotomy...