Wheeless' Textbook of Orthopaedics
procedure combines soft tissue release and removal of the medial eminence with resection of the proximal end of the proximal phalanx;
- complications include transfer metatarsalgia (helped with MP bar), recurrence (reduced w/ medullary pin and splinting), ...

It is the intention of this report to provide a brief overview of destructive surgery of the first metatarsophalangeal joint, emphasizing current indications, surgical procedures and potential complications which may arise.
A historical perspective of destructive joint surgery
Indications for destructive surgery of the first metatarsophalangeal joint
The Mayo Procedure
The Keller Procedure
Implant arthroplasty...