A Functional Chopart's Amputation With Tendon Transfers.
Choparts
amputation
biomechanics
tendon balancing
Journal
The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
ISSN: 1542-2224
Titre abrégé: J Foot Ankle Surg
Pays: United States
ID NLM: 9308427
Informations de publication
Date de publication:
Historique:
received:
09
07
2019
revised:
15
12
2019
accepted:
24
08
2020
pubmed:
29
9
2020
medline:
25
6
2021
entrez:
28
9
2020
Statut:
ppublish
Résumé
Generally, forefoot osteomyelitis is treated with a reliable level of amputation such as at the transmetatarsal level. However, when osteomyelitis extends proximal to the midfoot and presents with significant peripheral arterial disease, it is generally thought that the next best functional level of amputation is a transtibial amputation. This is mostly in part due to the high failure rate of Chopart's amputations which can be attributed to poor biomechanical and tendon balancing. We present a new technique of tendon balancing with a Chopart's amputation that results in optimized ambulatory function, durable soft tissue envelope of amputation, and successful limb salvage.
Identifiants
pubmed: 32981826
pii: S1067-2516(20)30321-5
doi: 10.1053/j.jfas.2020.08.019
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
213-217Informations de copyright
Copyright © 2020 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.