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Capsular Interposition for the Keller Bunionectomy with the Use of Soft-Tissue Anchors

Keith D. Cook Department of Podiatry, University Hospital–University of Medicine and Dentistry of New Jersey, 150 Bergen St, Room A-226, Newark, NJ 07103.

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The Keller procedure has been used during the past century for the treatment of first metatarsophalangeal joint pathology. Many modifications to the procedure have been made, including interposition of the joint capsule into the first metatarsophalangeal joint space. Capsular interposition is often the most difficult step in performing the Keller bunionectomy. This article describes a new, simplified technique for capsular interposition with the use of a dorsal capsular flap and soft-tissue anchors. (J Am Podiatr Med Assoc 95(2): 180–182, 2005)