16. What happens during an Austin osteotomy?
A V-shaped cut is made near the head of the first metatarsal. The metatarsal head is shifted to improve alignment and is usually stabilised with one or more screws. Soft-tissue balancing and an Akin osteotomy may be added when indicated.
17. Why do you mainly use an Austin or Chevron procedure?
For an appropriately selected deformity, it provides direct correction near the joint, stable fixation and preservation of the first metatarsophalangeal joint. Its suitability depends on the measured deformity and joint condition rather than surgeon preference alone.
18. When is an Austin osteotomy not enough?
A severe deformity, marked first-ray instability, advanced arthritis, important articular malalignment or revision problem may require a different or additional procedure. Using a familiar operation outside its reliable range can increase under-correction or recurrence.