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Article
April 1951

KELLER OPERATION FOR HALLUX VALGUS AND HALLUX RIGIDUSAn End Result Study

Author Affiliations

NEW YORK; HOUSTON, TEXAS

AMA Arch Surg. 1951;62(4):586-596. doi:10.1001/archsurg.1951.01250030594018
Abstract

THIS REPORT is based on the results of 161 Keller operations for hallux valgus and hallux rigidus on 100 patients1 during a 12 year period (1935 to 1947). Resection of two thirds of the proximal phalanx of the great toe combined with "exostosectomy" of the head of the first metatarsal is our method of choice for treating the majority of patients with hallux valgus and hallux rigidus.

In addition, we wish to emphasize the need for attention to the disabilities and deformities of the foot invariably associated with hallux valgus if the patient is to obtain maximum benefit from any type of surgical treatment.

Although Keller2 reported his method of resection of the proximal part of the proximal phalanx and removal of the medial aspect of the metatarsal head in 1904 and 1912,3 the operation did not become popular until the past decade, in spite of Spiers's

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