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Related Experiment Videos

Congenital Chopart amputation. A functional assessment.

J S Blanco1, J A Herring

  • 1Kluge Children's Rehabilitation Center, Charlottesville, Virginia.

Clinical Orthopaedics and Related Research
|July 1, 1990
PubMed
Summary

Congenital Chopart-level foot amputations in children showed normal functional limits. Prosthetic interventions like shoe fillers offer effective solutions, preserving limb length and weight-bearing capacity.

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Area of Science:

  • Pediatric Orthopedics
  • Biomedical Engineering
  • Rehabilitation Medicine

Background:

  • Congenital Chopart-level foot amputations present unique challenges in pediatric limb difference.
  • Understanding functional outcomes and prosthetic options is crucial for improving quality of life.

Purpose of the Study:

  • To evaluate the functional capabilities of children with congenital Chopart-level foot amputations.
  • To assess the efficacy of simple prosthetic interventions for this population.

Main Methods:

  • 11 pediatric patients with congenital Chopart amputations were assessed.
  • Measurements included limb length, calf circumference, joint range of motion, and stump appearance.
  • Functional tests involved a 50-m dash and standing broad jump.

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Main Results:

  • Patients demonstrated functional performance within normal limits across all tested parameters.
  • No significant plantar flexion deformity was observed.
  • Slipper-style shoe fillers or ankle-foot orthoses with foot plates proved functional and easily fabricated.

Conclusions:

  • Congenital Chopart-level amputations allow for normal functional outcomes with appropriate prosthetic management.
  • These prostheses offer advantages over higher-level amputations, maintaining limb length and weight-bearing surfaces.