Sharma operative technique. A, Medial sliding calcaneal osteotomy, distal soft-tissue release of first metatarsophalangeal joint, first tarsometatarsal joint arthrodesis, second and third metatarsal base oblique rotational osteotomy with fixation and metatarsal neck Weil shortening osteotomy with lateral collateral ligament release, and Akin closing wedge osteotomy of proximal phalanx. Overall improvement in physical appearance of foot, including overall width. Arrows indicate Weil shortening osteotomies and metatarsal base oblique rotational osteotomies with fixation. B, Lateral view of operative technique. Arrows indicate medial sliding calcaneal osteotomy, first tarsometatarsal joint arthrodesis, and Akin closing wedge osteotomy of proximal phalanx of hallux.