Frequently asked questions
When is the Keller procedure indicated?
The Keller procedure is a well established approach to treating big toe joints with severe arthrtic change. The operation is not sutable for patients where there is a possibility of preserving the joint by alternative methods.
How is the Keller operation performed?
The Keller operation is performed through a small cut over the top of the big toe joint just to the inside. Any damaged areas of bone are removed or smoothed. Usually the bump on the side of the big toejoint is removed. The "Keller" part of the operation involves removing a section of the big toe bone.
What are the benefits of the Keller procedure?
Historically this operation has been the subject of much criticism but this is largely due to either the operation being performed in the wrong circumstances or due to poor technique.
What are the downsides of the Keller procedure?
Like all surgeries there are pros and cons to each and every operation. The Keller will give rise to some shortening of the big toe. This also true of the big toe joint fusion. There are also some reports of transfer metatarsalgia being more common compared with big toe joint fusion.