A patient with type 2 diabetes presented with critical limb ischemia, forefoot gangrene, and severe infection. Endovascular revascularization (angioplasty) was successfully performed first, restoring blood flow and creating the conditions for limb-salvage surgery instead of a major amputation.

A Chopart amputation was performed, removing the toes, metatarsals, and the midfoot (tarsal) bones distal to the Chopart joint, while preserving the hindfoot. The wound was closed primarily and healed without major complications.

The surgical wound healed successfully, preserving a stable, functional weight-bearing limb. The patient was subsequently fitted with a custom prosthetic filler and specialized therapeutic footwear, allowing safe ambulation and maintaining independence. This case demonstrates how successful revascularization combined with a Chopart amputation can achieve durable limb salvage and avoid a major lower-limb amputation.