[Keller/Brandes surgical technique in the treatment of hallux valgus--indications, surgical method and results].

: The Keller/Brandes operation for the correction of hallux valgus consists of a resection of the base of the first phalanx and narrowing of the forefoot by resection of the exostosis of the first metatarsal head and reduction of the luxated sesamoid complex, thus reducing the metatarsus primus varus. The indication to this procedure is given in the elder patient with arthritic changes in the first metatarsophalangeal joint. Though this operation is "mutilating", we have found favourable results in the recent literature as in 50 of our patients being very good and good in 82%, moderate in 8% and poor in 10% of the cases. In order to obtain a good result we emphasize the importance of a correct indication, adequate preoperative measures, a perfect operative technique and a well guided postoperative management.