Keller Resection Arthroplasty for Treatment of Hallux Valgus Deformity: Increased Correction with Fibular Sesamoidectomy

Abstract

Thirty-eight patients (50 feet) were treated with Keller resection arthroplasties combined with fibular sesamoidectomies. Thirty-six patients were females (48 feet) and two were males (two feet). Their ages ranged from 55 to 87 years and averaged 68.4 years. Preoperative metatarsophalangeal (MTP) angles averaged 34° (range, 10 to 55°) and intermetatarsal (IM) angles averaged 15° (range, 8 to 27°). All patients were evaluated at an average of three years after surgery. An average correction of 18° in the MTP angle and 6° in the IM angle were obtained. At follow-up, 76% of patients had no pain, 14% had mild pain, and 10% had moderate pain; 76% had no activity limitations, 22% had recreational limitations, and 2% had daily limitations. Ninety-five percent of patients were satisfied with the results of their surgery.