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A Functional Chopart's Amputation With Tendon Transfers
Christopher J Green1, Christopher Bibbo2, Austin McArdle3
1Medical Director of the INTEGRIS Southwest Medical Center Limb Salvage and Peripheral Arterial Disease Center, Oklahoma City, OK.
Summary
This study introduces a novel tendon balancing technique for Chopart
Area of Science:
- Orthopedic Surgery
- Podiatric Surgery
- Limb Salvage Procedures
Background:
- Forefoot osteomyelitis often necessitates transmetatarsal amputation.
- Extensive midfoot osteomyelitis with peripheral arterial disease typically leads to transtibial amputation due to high Chopart's amputation failure rates.
- Previous Chopart's amputation failures are linked to biomechanical and tendon imbalances.
Purpose of the Study:
- To present a new tendon balancing technique for Chopart's amputation.
- To improve functional ambulation and limb salvage in patients with complex foot osteomyelitis.
- To achieve a durable soft tissue envelope at the amputation site.
Main Methods:
- A novel tendon balancing technique was developed and applied during Chopart's amputations.
- The technique focuses on optimizing biomechanical and tendon alignment.
- Patient outcomes regarding ambulatory function, soft tissue healing, and limb salvage were evaluated.
Main Results:
- The new technique resulted in optimized ambulatory function.
- A durable soft tissue envelope at the amputation site was achieved.
- Successful limb salvage was demonstrated in the treated patients.
Conclusions:
- This innovative tendon balancing technique enhances Chopart's amputation outcomes.
- It offers a viable alternative to transtibial amputation for select cases of midfoot osteomyelitis with peripheral arterial disease.
- The technique promotes better functional recovery and successful limb preservation.
