Keller arthroplasty with autogenous bone graft in the treatment of hallux limitus.
This manuscript presents an alternative surgical procedure in the treatment of hallux limitus. A description of a modified Keller arthroplasty in which the removed base of the proximal phalanx is remodeled and replaced in the first metatarsophalangeal joint is presented. An in-depth review of the procedure has been performed in 220 cases over the last 4 years at the Podiatry Hospital of Pittsburgh, and a study of 25 patients with over 15 months of follow-up is included. Early range of motion, preservation of articular surfaces, no implanted materials, and the option of multiple revisional procedures are the advantages of this procedure.
Quinn
M
M
Department of Podiatric Surgery, Podiatry Hospital, Pittsburgh, Pennsylvania.
Wolf
K
K
Hensley
J
J
Kruljac
S
S
D000328:Adult; D001178:Arthroplasty / Q000379:methods*; D016025:Bone Transplantation; D005534:Foot Diseases / Q000601:surgery*; D006214:Hallux / Q000601:surgery*; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000601:surgery*