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Second toe proximal phalanx interposition bone graft to correct a failed Keller's arthroplasty. A new technique
S Patel1, R S Mistry, L E Dodd
1Department of Orthopaedics and Trauma, Worthing Hospital, Worthing, West Sussex BN11 2DH, United Kingdom.
Summary
A new surgical method uses a toe bone transfer to fix a failed big toe joint replacement. This innovative technique restores length, function, and pain relief for patients.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Podiatric Medicine
Background:
- Keller's arthroplasty is a common procedure for hallux rigidus.
- Failure of Keller's arthroplasty can lead to significant pain and functional impairment.
- Salvage options for failed hallux arthroplasty are limited.
Observation:
- A novel salvage technique for failed Keller's arthroplasty was developed.
- The technique involves nonvascularised phalanx transfer from the second toe to the hallux.
- This procedure was performed on the same foot.
Findings:
- The phalanx transfer successfully restored length to the hallux.
- Restoration of length improved the overall function of the foot.
- The salvage technique effectively relieved pain in the affected joint.
Implications:
- This technique offers a viable solution for failed Keller's arthroplasty.
- Nonvascularised toe phalanx transfer can be a successful reconstructive option.
- Further studies are warranted to evaluate long-term outcomes and broader applicability.