Treating a case of diabetic stump ulceration after Chopart's amputation with total contact casting.

J Vasc Surg Cases Innov Tech

Department of Surgery, Helen L. and Martin S. Kimmel Hyperbaric and Advanced Wound Healing Center, NYU Langone Health, NYU Grossman School of Medicine, New York, NY.

Published: December 2024

Chopart's amputation is a limb length-preserving amputation that retains function but often suffers from stump ulcerations. We report a case of a 68-year-old male patient with poorly controlled type 2 diabetes mellitus and peripheral arterial disease who underwent left Chopart's amputation, presenting subsequently with nonhealing ulcers at the Chopart stump and heel for >1 year. Total contact casting was initiated, resulting in rapid wound healing without further interventions. This case highlights total contact casting's effectiveness in managing ulcerations post-Chopart's amputation, potentially preventing revision amputations, and extending its usefulness to complex foot anatomy in patients with diabetes and peripheral arterial disease.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401217PMC
http://dx.doi.org/10.1016/j.jvscit.2024.101589DOI Listing

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