Which statement describes the Ludloff osteotomy?

Which statement describes the Ludloff osteotomy?

• A. A dorsal proximal to plantar distal oblique shortening osteotomy
• B. A dorsal distal to plantar proximal shortening osteotomy
• C. A simple transverse osteotomy with no shortening
• D. A medial closing wedge osteotomy

Answer: (A)

The Ludloff osteotomy is an oblique osteotomy of the first metatarsal that runs from dorsal proximal to plantar distal. When the osteotomy is closed, it shortens the first metatarsal and allows the distal fragment to plane plantarward, which helps correct forefoot deformities such as metatarsus primus elevatus and associated hallux valgus. This orientation specifically provides shortening, unlike a simple transverse cut, and it is not described as a medial closing wedge or the opposite oblique direction.

The Ludloff osteotomy is an oblique osteotomy of the first metatarsal that runs from dorsal proximal to plantar distal. When the osteotomy is closed, it shortens the first metatarsal and allows the distal fragment to plane plantarward, which helps correct forefoot deformities such as metatarsus primus elevatus and associated hallux valgus. This orientation specifically provides shortening, unlike a simple transverse cut, and it is not described as a medial closing wedge or the opposite oblique direction.