Value of cerclage fibreux for the Keller-Brandes procedure.

In the last 15 years Keller-Brandes operations have been performed in the Orthopedic Hospital Vienna-Speising, with and without cerclage fibreux. We were able to compare both methods in a long-term follow-up study and to check the function of the fibrous cerclage reducing the first intermetatarsal angle. The results of the random follow-up study of 100 patients show impressive advantages of the cerclage fibreux, objectively and subjectively, up to high intermetatarsal angles, which formerly were treated by osteotomies.