Pantalar fusion for correction of painful equinus after traumatic Chopart's amputation–a report of 2 cases

Ankle Dorsiflexion Arthrodesis to Salvage Chopart’s Amputation With Anterior Skin Insufficiency

“…15 Further bony procedures reported to prevent these complications in Chopart-level amputation include ankle and tibiotalocalcaneal arthrodeses. 5,7,20,23 For a more stable weight-bearing stump, Clippinger proposed a primary, preventive ankle arthrodesis in 5 degrees of dorsiflexion. 5 To avoid equinus and hindfoot varus deformity in cases of Chopart's amputation and insufficient anterior soft tissues, preventive tibiotalocalcaneal arthrodesis with neutral alignment has been advocated by DeGere and Grady in a study of 7 diabetic or neuropathic patients and in nondiabetic patients in 2 single case reports by Persson and Söderberg and Rosa et al 7,20,23 In the series of DeGere and Grady, 1 patient died from uncontrollable septic complications early postoperatively in spite of transfemoral amputation.…”

Long-term results of pantalar fusion for correction of equinus deformity after Chopart's amputation: a case report

“…We believe that–especially in elderly patients–it is advisable to preserve the normal length of the limb by correcting the deformity which has developed with a pantalar arthrodesis. This procedure has recently been reported to provide pain relief and to allow the healing of ulcerations after the correction of equinus deformity in traumatic Chopart’s amputations [10]. The stump functions as a good weight‐bearing structure, which allows the patients to return to their social activities with the use of customized prostheses [10].…”

“…This procedure has recently been reported to provide pain relief and to allow the healing of ulcerations after the correction of equinus deformity in traumatic Chopart’s amputations [10]. The stump functions as a good weight‐bearing structure, which allows the patients to return to their social activities with the use of customized prostheses [10]. Such results are also maintained in the long term, even if the limb is subjected to a functional overload as a consequence of a contralateral below‐the‐knee amputation (as was the case for our patient).…”

Soft Tissue Balancing After Partial Foot Amputations

“…29, 30 Persson and Soderberg 30 described their technique as it was performed on 2 patients using staples at the fusion sites. DeGere and Grady 29 described their technique using an intramedullary nail through the calcaneus and talus and into the tibia.…”