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Chopart amputation with percutaneous heel cord lengthening
J R Lieberman1, R L Jacobs, L Goldstock
1Department of Orthopaedic Surgery, UCLA School of Medicine.
Clinical Orthopaedics and Related Research
|November 1, 1993
Summary
Peripheral vascular disease patients needing amputation can achieve good function with Chopart (calcaneonavicular-talonavicular) level amputation. Preserving tissue is crucial for maintaining mobility, especially considering potential future involvement of the other extremity.
Area of Science:
- Vascular Surgery
- Orthopedic Surgery
- Podiatric Surgery
Background:
- Peripheral vascular disease (PVD) often necessitates limb amputation.
- Preserving maximum tissue is vital for functional outcomes in amputations.
- The contralateral limb may be at risk for future PVD complications.
Purpose of the Study:
- To evaluate the functional outcomes of Chopart level amputations in patients with PVD.
- To emphasize the importance of tissue preservation in lower extremity amputations.
Main Methods:
- Review of cases undergoing Chopart level amputation for PVD.
- Assessment of functional results and tissue preservation techniques.
Main Results:
- Chopart level amputation, with appropriate surgical care, can yield good functional results.
- Careful tissue management is key to maximizing function post-amputation.
Conclusions:
- Chopart amputation is a viable option for PVD patients requiring lower limb amputation.
- Maximizing tissue preservation at the Chopart level contributes to positive functional recovery.