A, Patient with moderate metatarsus primus varus and hallux valgus deformity. B, Both intermetatarsal angle and hallux valgus are corrected; Akin osteotomy also was done to obtain complete correction of hallux valgus. (From Coetzee JC, Rippstein P: Surgical strategies: scarf osteotomy for hallux valgus, Foot Ankle Int 28:529, 2007.) SEE TECHNIQUE 82.11.