Salvage of the Failed Keller Resection Arthroplasty

Abstract

Although it is more technically demanding, we recommend arthrodesis for salvage following a failed Keller procedure since it may be associated with a higher rate of patient satisfaction and better clinical results.

The Scarf Osteotomy: A Salvage Procedure for Recurrent Hallux Valgus in Selected Cases

“…Not every patient with complaints after primary hallux valgus surgery was eligible for the Scarf osteotomy; however, our aim was to determine whether the Scarf osteotomy was reasonable for treating recurrent hallux valgus in a selected group of patients sharing a similar pathomechanism. We did not consider this operation in patients for whom we considered other methods to be more suitable (eg, cock-up deformity, unstable TMT1) [8,9,19,21]. Third, we lacked historical or concurrent controls.…”

“…5-7). Previous studies [10,14,21,33] recommend arthrodesis of the MTP1 for complaints after resection arthroplasty, however, they do not differentiate between various scenarios that may occur after resection arthroplasty (such as an unstable MTP1 joint, a cock-up deformity, transfer metatarsalgia, or a recurrence). If metatarsalgia can be treated successfully nonoperatively, we see no need to fuse the MTP1 joint.…”

“…Not all methods described in earlier reports [10,14,18,21,33,34] address metatarsus primus varus in revision cases. Various studies, however, propose the following methods: arthrodesis of the first metatarsal-cuneiform joint [8], arthrodesis of the first metatarsophalangeal (MTP1) joint [10,14,18,21,33,34], repeat resection arthroplasty [18,21], and proximal osteotomy [17].…”

“…Various studies, however, propose the following methods: arthrodesis of the first metatarsal-cuneiform joint [8], arthrodesis of the first metatarsophalangeal (MTP1) joint [10,14,18,21,33,34], repeat resection arthroplasty [18,21], and proximal osteotomy [17]. The Scarf osteotomy was described as a technique for primary correction of a metatarsus primus varus [23] and used by many subsequent authors [2,3,13,15,20].…”

Symptomatic Medial Exostosis of the Great Toe Distal Phalanx: A Complication Due to Over-correction Following Akin Osteotomy for Hallux Valgus Repair

“…As a corollary to the widespread use of osteotomies to correct hallux valgus, a wide array of potential postoperative complications are known to exist (1)(2)(3)(4). In some cases, it is possible to identify in the preoperative period conditions that could potentially cause a postoperative problem, and it is the surgeon's responsibility to consider those items that could reasonably result in such a complication.…”