Reported recurrence rates vary dramatically according to the angle used to define recurrence and the length of follow-up. Long-term Chevron research has shown that mild radiographic recurrence may remain painless and require no revision.
Risk is influenced by the original severity, joint congruence, sesamoid position, distal articular alignment, procedure selection and quality of correction. Progressive deforming forces can remain even after technically sound surgery.
Use weight-bearing imaging to define the original deformity.
Match the operation to the corrective requirement.
Restore alignment without relying on removal of the medial prominence alone.
Follow postoperative protection and footwear advice.
Does a small drift in toe position require another operation?
Usually not if the foot remains comfortable and functional. Revision is based on symptoms, progression and cause—not appearance alone.