Foot & Ankle

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Question

  • Describe the XR
  • What operation has the pt had ?
  • What are the problems with it ?
  • Is it still used ?

Answer

Keller’s procedure

Resection of the base of the PP, bunionectomy and medial capsule plication

Problems

  • Transfer metatarsalgia
  • ‘cock up’ deformity
  • Decreased power on push off
  • Cosmesis

Mx now – non op (accommodative orthotics > op (tricortical iliac bone graft arthrodesis (out to length))

Answer