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The Keller Bunionectomy for HIPJ Ulcerations

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The goal of this lecture is to review the indication for Keller arthroplasty, cheilectomy, and 1st MPJ fusion for management of hallux limitus rigidus. We will review the textbook guidelines but also review some clinic scenarios and describe why each procedure was chosen for each patient based on age, comorbidities, physical exam, and radiographs.

CME (Credits: 0.5)

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Learning Objectives:

1. Describe the history of the Keller bunionectomy.
2. Describe the utility of the Keller arthroplasty in offloading DFU.
3. Describe the indications for Keller arthroplasty.
4. Describe what alternative procedures exist to treat HIPJ ulcerations.
5. Review cases where the Keller arthroplasty has been successfully utilized to treat hallux ulcerations.