Keller Resection/arthroplasty

Keller/Resection arthroplasty:
Joint destructive procedure  indicated for degenerative arthritis and significant pain; usually used in older patients with limited function (especially apropulsive gait) – the so called “geriatric bunion”.
Resection of base of proximal phalanx and medial eminence of first metatarsal head  instability of joint  limited usefulness.