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What is a Keller arthroplasty?

Keller’s arthroplasty is usually done under general anaesthetic. Your surgeon will make a small incision (cut) over the joint in your big toe. They will remove a small portion of the bone in the joint which increases the range of motion. They will replace the removed bone with soft tissue to create a “false joint”.

What is Interpositional arthroplasty?

A first MTP joint interposition arthroplasty is a surgical procedure to treat arthritis of the big toe. The treatment can stop pain at the base of the big toe by preventing the surfaces of the bones from rubbing together. It also can preserve some motion in the big toe.

What is the CPT code for a Keller procedure?

The Keller-Mayo procedure (CPT code 28293), which is when the joint of the big toe is removed and replaced with an implant.

What is Keller Bunionectomy?

The Keller bunionectomy is one of the oldest procedures for surgical correction of painful bunions . It is reserved for patients who are older and have lower physical demands. This procedure allows correction of mild to some severe-sized bunions.

What does it mean when you can’t move your big toe?

If you can’t bend your big toe, you may have a condition called hallux rigidus that is caused when degenerative arthritis increases deterioration of the big toe joint. Risk factors for developing hallux rigidus include having poorly treated flat feet, gout, and other arthritic conditions.

What is arthroplasty of the toe?

In this procedure, the surgeon removes part of one of the toe bones, the phalangeal head, so that the toe can lie flat. The affected tendons are cut and then reattached to conform to the new, correct toe position. A wire or tape holds the straightened toe in place until it has healed.

What is implant arthroplasty?

Arthroplasty is a surgical procedure performed by an orthopedic surgeon that alters or completely replaces a joint in the body, usually to restore normal motion and relieve pain in a malformed or diseased joint, such as the hip, knee, shoulder, elbow or ankle.

What is Keller bunionectomy procedure?

Shortens the Toe – The Keller bunionectomy involves the cutting of one of the cartilage surfaces of the big toe joint. This will shorten the big toe to some degree and will bother younger, more active patients.

How soon can you walk after cheilectomy?

Impact-style activity like walking or running is allowed as soon as the sutures are removed, but usually isn’t completely comfortable until closer to 6-12 weeks post-op. Swelling of the foot is a common finding after surgery and can take anywhere from 6 weeks to 6 months to fully resolve.

Is a cheilectomy painful?

It is extremely important to inform patients with end-stage arthrosis who undergo cheilectomy that the joint may become more painful after the surgery. Once the surgeon removes the bony blockade, this arthritic joint will have more motion, allowing for increased bone-on-bone contact, which may be painful.

What is a Chevron Bunionectomy?

This outpatient procedure is performed to correct a bunion, a deformity of the toe joint. During the procedure, the surgeon may remove excess bone and then shift the toe into proper alignment. This surgery is commonly performed with regional anesthesia.