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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Format: | Article |
Language: | English |
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Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2022-04-01
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Series: | Journal of the Foot & Ankle |
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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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first_indexed | 2024-04-14T00:01:50Z |
format | Article |
id | doaj.art-199cd1d1f2ea4c5db1144859fb781bcb |
institution | Directory Open Access Journal |
issn | 2675-2980 |
language | English |
last_indexed | 2024-04-14T00:01:50Z |
publishDate | 2022-04-01 |
publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
record_format | Article |
series | Journal of the Foot & Ankle |
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 |