Modified Valenti arthroplasty. A, Starting point for first metatarsal osteotomy. B, Lateral view. C and D, After osteotomy. (From Saxena A, Valerio DL, Behan SA, Hofer D: Modified Valenti arthroplasty in running and jumping athletes with hallux limitus/rigidus: analysis of one hundred procedures, J Foot Ankle Surg 58:609, 2019.) SEE TECHNIQUE 82.34.