The improved Keller arthroplasty.

To deal with the many predictable adverse effects of the Keller arthroplasty, a large and varied array of modifications have been created. From preoperative assessment to postoperative care, from remodeling of bone to soft-tissue alterations, these modifications can be selectively applied to fit the patient's needs as the surgeon deems appropriate. It can easily be seen that the potential of the procedure has been supported by its longevity, but that with all these modifications, we have, in fact, been given the improved Keller arthroplasty.