Keller S Operation

Surgical correction of the big toe, also known as the Kohler procedure, is a common procedure performed in cases of hallux valgus (bending outwards of the big toe) resulting in severe pain and impaired function of the foot. This type of intervention is not always effective and requires

Keller operation

Keller's operation is one of the most common surgical operations performed in the presence of valgus deformity of the big toe (bunion) of the human foot and consists, as the name suggests, in modeling an artificial joint by removing the base of the nail phalanx. This operation is not applied to adults over 45-50 years of age.

- Process - During this operation, the surgeon makes a preliminary incision of the skin to facilitate the passage of the digital fascia. The phalangeal bases of the nail phalanges are then removed, as well as the first digital joint of the thumb is moved to the correct position.

Every year, about 500 thousand operations are performed worldwide to correct deformities of the first toe, in which patients' big toe continues to rotate and move in a valgus direction, causing bunions. This type of surgery is quite common in Germany and is most often performed in hand and forearm surgery, but can also be performed in orthopedic surgery. I will write an article about this method of treating bursitis (Keller operation). But we will start by defining what a deformity of the first finger is and the pathology of the thumb itself.

Bursitis of the thumb is a disease in which the inflammatory process affects the joint of the thumb. Bursitis is a disease of the big toe joint, which is highly susceptible to injury. One of the components of the pathology is arthrosis of the joint. In addition, inflammation can develop inside the joint capsule - synovitis. The common name for the two pathologies is bursopathy.

What does advanced bursitis look like? It looks approximately the same as a lesion of the wrist joint - hygroma, with the exception of appearance. Since the joint is large, its bone walls are very thin, so it is the most vulnerable among all the joints of the hand. The joint bursa is thin, much less capacious than the bursa of the wrist joint. Therefore, you should immediately assume that it will become inflamed primarily due to massive swelling. As a rule, it is this position that becomes the trigger for bursitis - swelling leads to dystrophic changes that turn into inflammatory pathologies.