The long-term results of resection arthroplasties of the first metatarsophalangeal joint in rheumatoid arthritis

We performed a retrospective study in 188 patients (254 feet) with rheumato id arthritis and compared the late results of Keller's procedure with those of Hueter-Mayo's technique after 7.9 years. More than 60% of the Keller gr oup and 30% of the Hueter-Mayo group were suffering from persistent metatar salgia due to increased forefoot pressure as well as experiencing pain arou nd the great toe. Plantar callosities, recurrent hallux valgus deformity, l ack of plantar flexion and weakened push-off were more frequent after Kelle r's procedure.