Clinical Case Category:
Minor Amputations Clinical Cases

Chopart Amputation for Advanced Diabetic Foot Ischemia

Chopart Amputation for Advanced Diabetic Foot Ischemia
Problem
Chopart Amputation for Advanced Diabetic Foot Ischemia procedure image
Procedure
Chopart Amputation for Advanced Diabetic Foot Ischemia outcome image
Outcome

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.

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.

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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