Chopart Amputation Following Successful Revascularization



Problem
A 68-year-old patient with type 2 diabetes presented with critical limb ischemia and diabetic foot gangrene. Successful endovascular revascularization (angioplasty) restored adequate blood flow, allowing a limb-salvage procedure instead of a major amputation.
Procedure
A Chopart amputation was performed, removing the toes, metatarsals, and tarsal bones distal to the Chopart joint, while preserving the hindfoot. The wound was closed with primary suturing, achieving stable soft-tissue coverage.
Outcome
The surgical wound healed uneventfully with excellent stump formation. The patient was subsequently fitted with a custom prosthetic device and specialized therapeutic footwear, enabling safe ambulation and preserving functional independence. This case illustrates how timely revascularization combined with a well-planned Chopart amputation can provide durable limb salvage and restore mobility in patients with diabetic foot disease.