Abstract

We report the outcome following Keller's arthroplasty for hallux valgus and hallux rigidus in 108 feet (94 patients) followed up for a mean of 8.7 years, range 5–25 years. Using clinical radiological and footprint evaluation we identify a substantial incidence of adverse features, including recurrent hallux valgus, big toe pain and lateral metatarsalgia. Patients with hallux valgus consistently faired worse than those with hallux rigidus, as did younger patients with either condition. In order to improve this outcome we recommend that Keller's excision arthroplasty be reserved for the elderly, those with limited demand and in patients predominantly suffering from hallux rigidus.

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