Modified chevron distal metatarsal osteotomy. A, Sensory branch of superficial peroneal nerve (left arrow) and accessory extensor hallucis longus (right arrow). B, Inverted L-shaped capsulotomy. C, Transverse limb of L-capsulotomy. D, Reflection of capsule. E, Apex of osteotomy is 1 to 1.3 cm proximal to articular surface, depending on size of metatarsal head. F, Dorsal limb of osteotomy and width of saw blade. G, Completion of osteotomy. H, Lateral translation of capital fragment. Note overhang of proximal metatarsal (arrow). I and J, Kirschner wire in place (top arrow); resection of overhang of proximal metatarsal (bottom arrow). K, Completed osteotomy. L, Hallux is placed in corrected position while dressing is applied. M, Absorbable pins that can be trimmed may be used as alternative. SEE Technique 82.4.