Comparing Outcomes Using 1 Versus 2 Kirshner Wire Fixation in Patients With Severe Hallux Valgus

Inclusion Criteria: * age 18-60 year * pain along medial surface of first MTP joint * radiographic finding : medial deviation of first Metatarsal bone , and lateral deviation of Big toe * complete a follow up period of 1 year , filling questionaires and undergone radiographic examination every visit * radiographic finding : Hallux valgus angle \>20 , Intermetatarsal angle \> 10 degrees * failed conservative treatment for atleast 8 months , with persistent pain along medial eminence and having difficulty walking, bearing weight Exclusion Criteria: * previous injury/fracture at big toe * deviation/ subluxation of 1st MTP joint from traumatic event * arthritic change of metatarsal bone, phalangeal bone of big toe * previous/active infection , open wound along first metatarsal and big toe * patient denied enrolling in study