Chopart's Amputation: A 10-Year Case Study

• Published in: The Journal of foot and ankle surgery Vol. 47; no. 4; pp. 326 - 331
• Main Authors: Yoho, Robert M., DPM, MS, FACFAS, Wilson, Paul K., BS, Gerres, Jennifer A., BS, Freschi, Scot, DPM, FACFAS
• Format: Journal Article
• Language: English
• Published: Baltimore, MD Elsevier Inc 01-07-2008; Data Trace
• Subjects: amputation; Amputation - adverse effects; Amputation - methods; Amputation - psychology; Amputation Stumps; Ankle Joint - surgery; Biological and medical sciences; Chopart's joint; Debridement; diabetes; Diabetes. Impaired glucose tolerance; Diabetic Foot - complications; Diabetic Foot - metabolism; Diabetic Foot - physiopathology; Diabetic Foot - surgery; Diseases of the osteoarticular system; Endocrine pancreas. Apud cells (diseases); Endocrinopathies; Etiopathogenesis. Screening. Investigations. Target tissue resistance; Humans; Limb Salvage; Male; Medical sciences; Middle Aged; midtarsal; Orthopedic surgery; Orthopedics; osteomyelitis; Osteomyelitis - etiology; Osteomyelitis - surgery; peripheral vascular disease; Peripheral Vascular Diseases - complications; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Time Factors; Treatment Outcome; osteomyelitis; amputation; diabetes; midtarsal; peripheral vascular disease; Chopart's joint; Endocrinopathy; Diabetes mellitus; Diseases of the osteoarticular system; Cardiovascular disease; Joint; Case study; Vascular disease; Treatment; Surgical amputation; Surgery; Orthopedics; Osteitis
• ISSN: 1067-2516; 1542-2224
• DOI: 10.1053/j.jfas.2008.04.007

The purpose of this case study was to review the 10-year outcome of a patient with a history of diabetes, pedal osteomyelitis, and peripheral vascular disease, who underwent a Chopart's amputation of the right foot. Key evaluative elements to consider for long-term success of any amputation include the vascular status of the foot, control of infection, adequate soft tissue coverage, biomechanics associated with amputation, the metabolic challenge of amputation, and the psychosocial consequences linked to loss of a limb. The results of the case study show that Chopart's amputation is an excellent limb salvage surgical option that can achieve beneficial long-term outcomes in properly selected patients. Level of Clinical Evidence: 4