title: [Case report on management of grade 4 infected open comminuted tarsus fracture by tibio-Chopart arthrodesis].
abstract: We report on the treatment of a 39 year old patient who suffered from subtotal amputation of the middle foot area after fall from tall height. He was treated by an arthrodesis between ventral tibia and distal Chopart-joint which was carried out as late-primary care. Therefore calcaneus and talus were totally and os cuboideum and os scaphoideum were partially removed. This form of arthrodesis is a rare indication. With remaining blood flow and sensibility in the fore foot it is an alternative to amputation/exarticulation in the tibiotalar joint. Advantages are the improved plantar weightbearing area, a simplified supply of orthopedic shoes and a better tactile ground contact.
authors.affiliation: Fachkrankenhaus für Orthopädie, Waldkrankenhaus Bad Düben.
authors.forename: R
authors.initials: R
authors.lastname: Klauss
authors.forename: L
authors.initials: L
authors.lastname: Arens
authors.forename: R
authors.initials: R
authors.lastname: Gahr
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery*; D001174:Arthrodesis / Q000295:instrumentation*; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D013628:Talus / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D016896:Treatment Outcome; D014946:Wound Infection / Q000000981:diagnostic imaging / Q000601:surgery*