Increased displacement distal chevron osteotomy. A, Exposure and marking for osteotomy cuts. B, Sagittal view showing lateral translation of distal fragment. C, Dorsal view showing lateral translation of approximately 9 mm. White arrow points to the mark on center of metatarsal head; black arrow denotes lateral spike on which head fragment is perched. D, After placement of Kirschner wires and resection of residual medial bone flush with metatarsal head. (From Murawski DE, Beskin JL: Increased displacement maximizes the utility of the distal chevron osteotomy for hallux valgus deformity correction, Foot Ankle Int 29:156, 2008.) SEE TECHNIQUE 82.6.