Faraj AA (2019) Mitchell Osteotomy for Hallux Valgus Using Trans-Osseous Capsulorrhaphy for Stabilization. Int J Foot Ankle 3:026.


© 2019 Faraj AA. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

RESEARCH ARTICLE | OPEN ACCESS DOI: 10.23937/ijfa-2017/1710026

Mitchell Osteotomy for Hallux Valgus Using Trans-Osseous Capsulorrhaphy for Stabilization

Adnan A Faraj FRCS (Orth)*

Associate Professor, Orthopaedic Department, Azadi Hospital, Kirkuk Medical School, Kirkuk, Airedale Foundation Trust, Keighley, UK



The fixation method of Mitchell's osteotomy after displacement is controversial. In the current study, we evaluated a previously described technique of using transosseous capsulorrhaphy. In this series, foot plaster slipper was used for six weeks.

Materials and methods

Twenty-seven feet (21 patients) underwent the technique for symptomatic hallux valgus was included in this study. Retrospective and consecutive series. Mitchell's step cut osteotomy was performed without metal fixation, trans osseous capsulorrhaphy was used for fixation.


At 15 months follow-up, the results were satisfactory in 23 feet, fair in three patients and poor in one patient. Mean HVA correction was 17 º and IMA correction of 5.4º this is considered to be significant.


The main advantage of the described technique is that it can be used in a less sophisticated surgical unit, without the need for internal fixation implants and image intensifier.