Keller resection arthroplasty

The resection arthroplasty first described by Keller for hallux valgus has subsequently been applied to treat hallux rigidus. Some variations to the original procedure have been described, such as the interposition of soft tissue in the resection area (joint capsule, tendon, etc.), as a spacer, in...

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Main Authors: Antonio Viladot Voegeli, Mariano Nuñez-Samper
Format: Article
Language:English
Published: Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé 2022-04-01
Series:Journal of the Foot & Ankle
Subjects:
Online Access:https://jfootankle.com/JournalFootAnkle/article/view/1594
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author Antonio Viladot Voegeli
Mariano Nuñez-Samper
author_facet Antonio Viladot Voegeli
Mariano Nuñez-Samper
author_sort Antonio Viladot Voegeli
collection DOAJ
description The resection arthroplasty first described by Keller for hallux valgus has subsequently been applied to treat hallux rigidus. Some variations to the original procedure have been described, such as the interposition of soft tissue in the resection area (joint capsule, tendon, etc.), as a spacer, in order to reduce the amount of phalanx to be resected and improve stability and mobility. Another procedure, proposed by Valente Valenti, consists of performing a “V” shaped arthrectomy in the sagittal plane, at the level of the metatarsal and the phalanx. We are faithful to the original technique, resecting approximately one third of the phalangeal base and the periarticular osteophytes, seeking for the correct balance between the flexor and extensor muscles of the hallux. Resection arthroplasty is indicated in stage III or in stage III-IV of the Regnauld and Coughlin and Shurnas classifications, respectively. Both in our own experience and when reviewing the bibliography, we find that very acceptable results are obtained. Level of Evidence V; Therapeutic Studies; Expert Opinion.
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spelling doaj.art-199cd1d1f2ea4c5db1144859fb781bcb2022-12-22T02:23:40ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802022-04-0116110.30795/jfootankle.2022.v16.1594Keller resection arthroplastyAntonio Viladot Voegeli0Mariano Nuñez-Samper1Orthopaedic Department, Clínica Tres Torres. Barcelona, Spain.Hospital Virgen del Mar, Madrid, Spain. The resection arthroplasty first described by Keller for hallux valgus has subsequently been applied to treat hallux rigidus. Some variations to the original procedure have been described, such as the interposition of soft tissue in the resection area (joint capsule, tendon, etc.), as a spacer, in order to reduce the amount of phalanx to be resected and improve stability and mobility. Another procedure, proposed by Valente Valenti, consists of performing a “V” shaped arthrectomy in the sagittal plane, at the level of the metatarsal and the phalanx. We are faithful to the original technique, resecting approximately one third of the phalangeal base and the periarticular osteophytes, seeking for the correct balance between the flexor and extensor muscles of the hallux. Resection arthroplasty is indicated in stage III or in stage III-IV of the Regnauld and Coughlin and Shurnas classifications, respectively. Both in our own experience and when reviewing the bibliography, we find that very acceptable results are obtained. Level of Evidence V; Therapeutic Studies; Expert Opinion. https://jfootankle.com/JournalFootAnkle/article/view/1594Hallux rigidusArthroplastyOsteoarthritis
spellingShingle Antonio Viladot Voegeli
Mariano Nuñez-Samper
Keller resection arthroplasty
Journal of the Foot & Ankle
Hallux rigidus
Arthroplasty
Osteoarthritis
title Keller resection arthroplasty
title_full Keller resection arthroplasty
title_fullStr Keller resection arthroplasty
title_full_unstemmed Keller resection arthroplasty
title_short Keller resection arthroplasty
title_sort keller resection arthroplasty
topic Hallux rigidus
Arthroplasty
Osteoarthritis
url https://jfootankle.com/JournalFootAnkle/article/view/1594
work_keys_str_mv AT antonioviladotvoegeli kellerresectionarthroplasty
AT marianonunezsamper kellerresectionarthroplasty