Abstract
The operation of Keller’s arthroplasty for hallux valgus associated with arthritis appears to have fallen from favour. It is pertinent therefore to review the long-term results in patients treated by one consultant orthopaedic surgeon using a standardised technique.
We were able to locate 30 patients (47 feet). Four were male and 26 female, and the age at surgery was 20–74 years (mean 65). Follow-up was from 7–22 years (mean 13). All patients were recalled for clinical evaluation, recording history of symptoms in the feet, need for further surgery, and presence of deformity. Clinical rating on the American Orthopaedic Foot and Ankle Society score for the hallux was determined. Pedobarographs (Musgrave) were recorded and radiographs taken of symptomatic feet.
27 patients (43 feet) were either very satisfied or satisfied with the outcome of surgery. The mean AOFAS score was 80 (range 49–100). Three patients (4 feet) were dissatisfied because of floppy toe (1), or elevated toe with metatarsalgia (2). Pedobarograph and radiographic findings will be presented.
We found Keller’s arthroplasty to be a reliable procedure in the management of hallux valgus associated with arthritis. Satisfactory results in the long term were obtained in 90% of patients. We believe attention to detail in the performance of the procedure to be important.
We would like to acknowledge that patients studied in this review were treated under the care of Mr GD Stainsby.
The abstracts were prepared by Mr Simon Donell. Correspondence should be addressed to him at the Department of Orthopaedics, Norfolk & Norwich Hospital, Level 4, Centre Block, Colney Lane, Norwich NR4 7UY, United Kingdom
