Chopart Amputation for Advanced Diabetic Foot Ischemia
Clinical presentation, surgical treatment and documented healing.
- 01 / Problem
- Clinical presentation
- 02 / Procedure
- Surgical approach
- 03 / Outcome
- Healing & follow-up
Clinical photographs below include wounds and surgical treatment.
01 / CLINICAL PRESENTATION
Problem
A 69-year-old man with type 2 diabetes presented with advanced diabetic foot ischemia despite severe peripheral arterial disease. Following successful endovascular revascularization (angioplasty), the foot was considered suitable for limb-salvage surgery rather than major amputation.
02 / SURGICAL APPROACH
Procedure
A Chopart amputation was performed, removing the forefoot, metatarsals, and part of the tarsal bones while preserving the hindfoot. This level of amputation provided complete excision of non-viable tissue while maintaining a stable, weight-bearing heel for future ambulation.
03 / HEALING & FOLLOW-UP
Outcome
The wound healed satisfactorily with preservation of a functional residual foot. This case demonstrates that after successful revascularization, a Chopart amputation can be an effective limb-salvage procedure, preserving weight-bearing capacity and functional mobility while avoiding a higher-level below-knee amputation.
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