Keller resection arthroplasty for treatment of hallux valgus deformity: increased correction with fibular sesamoidectomy.

Thirty-eight patients (50 feet) were treated with Keller resection arthroplasties combined with fibular sesamoidectomies. Thirty-six patients were females (48 feet) and two were males (two feet). Their ages ranged from 55 to 87 years and averaged 68.4 years. Preoperative metatarsophalangeal (MTP) angles averaged 34 degrees (range, 10 to 55 degrees) and intermetatarsal (IM) angles averaged 15 degrees (range, 8 to 27 degrees). All patients were evaluated at an average of three years after surgery. An average correction of 18 degrees in the MTP angle and 6 degrees in the IM angle were obtained. At follow-up, 76% of patients had no pain, 14% had mild pain, and 10% had moderate pain; 76% had no activity limitations, 22% had recreational limitations, and 2% had daily limitations. Ninety-five percent of patients were satisfied with the results of their surgery.