MILD HAV DEFORMITY (Normal to mild in IM angle - 11 or less) Normal PASA PASA

Capsule Tendon Balance Procedure A) Silver B) Modified McBride

A) Reverdin B) Reverdin-Green C) Reverdin-Laird

MILD TO MODERATE HAV DEFORMITY (12 to 14) Normal PASA A) B) C) D) E) F) G) Austin Mitchell Hohmann Wilson Kalish Offset V Scarf PASA

Bicorrectional modification of A, B, C, D

SEVERE HAV DEFORMITY (15 or more) Normal PASA A) B) C) D) E) F) Closing Base Wedge Osteotomy Opening Base Wedge Osteotomy Crescentic Base Wedge Osteotomy Kalish 12 to 15 Offset V Scarf PASA

A, B, C plus Reverdin or its modifications E, F plus modification of existing procedure for PASA correction

HAV DEFORMITY With DJD 1st MPJ fusion Keller with or without implant With excessive hypermobility Lapidus fusion