[Kramer's and Keller's methods in hallux valgus deformation treatment]

In this paper different operational techniques and results of hallux valgus treatment, using Kramer's and Keller's methods, are presented. The study was performed in 36 patients (35 women and 1 man, average age 43) in which 66 feet were operated by Kramer's method and 16 women (average age 53) with 28 feet were operated based on Keller's method. Radiological examination (intermetatarsal angle and valgity angle HVA before and after surgery) and Visual Analog Scale (VAS) were used to evaluate both methods. Better radiological results were achieved in case of patients treated with Kramer's method. After surgery treatment the patient's average HVA angle was 18,1 degrees and average intermetatarsal angle was 11.9 degrees. After surgery treatment with Keller's method, the average HVA angle was 24.0 degrees and average intermetatarsal angle was 13.4 degrees. Radiological results correlates with VAS scale evaluation. The patients rated Kramer's method treatment on 9.4 out of 10 and Keller's method treatment - 8.1 out of 10.