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The Keller resection arthroplasty: a 13-year experience.
G T Vallier1, S A Petersen, M O LaGrone
1Department of Surgery, Letterman Army Medical Center, Presidio of San Francisco, California 94129-6700.
Foot & Ankle
|February 1, 1991
Summary
The Keller resection arthroplasty effectively treats painful hallux valgus, with 75% of patients experiencing symptom relief. Patient satisfaction was high, particularly when using K-wire fixation and limited proximal phalanx resection.
Area of Science:
- Orthopedic Surgery
- Podiatric Surgery
Background:
- Hallux valgus, a common foot deformity, often leads to degenerative changes in the first metatarsophalangeal joint.
- Surgical intervention is frequently considered for symptomatic cases unresponsive to conservative management.
Purpose of the Study:
- To evaluate the long-term clinical outcomes of Keller resection arthroplasty for hallux valgus.
- To assess patient satisfaction and identify factors influencing surgical success.
Main Methods:
- A retrospective review of 54 feet undergoing Keller resection arthroplasty.
- Follow-up included radiographic assessment, physical examination, and patient questionnaires over 2-10 years.
Main Results:
- 75% of patients achieved complete symptom relief.
- Significant improvements were noted in metatarsophalangeal and intermetatarsal angles (P < .01).
- High patient satisfaction (87.5%) was associated with K-wire fixation and limited proximal phalanx resection.
Conclusions:
- Keller resection arthroplasty is a viable treatment option for hallux valgus with degenerative changes.
- The procedure offers substantial symptom relief and high patient satisfaction.
- Specific surgical techniques, such as K-wire fixation, positively impact outcomes.