title: Joint-Sparing Corrections of Malunited Chopart Joint Injuries.
abstract: Treatment of malunion and nonunion at the Chopart joint aims at axial realignment of the midfoot to the hindfoot and restoration of the normal relationship of the lateral and medial columns of the foot. In carefully selected patients with intact cartilage, joint-preserving osteotomies are feasible at all 4 bony components of the Chopart joint to restore near-normal function. Priority should be given to the anatomic reconstruction of the talonavicular joint because it is essential for global foot function. Patients must be counseled about the risk of progressive arthritis or osteonecrosis necessitating late fusion.
authors.affiliation: University Center for Orthopaedics & Traumatology, University Hospital Carl Gustav Carus at the TU Dresden, Fetscherstrasse 74, Dresden 01307, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Schneiders
authors.affiliation: University Center for Orthopaedics & Traumatology, University Hospital Carl Gustav Carus at the TU Dresden, Fetscherstrasse 74, Dresden 01307, Germany. Electronic address: strammelt@hotmail.com.
authors.forename: Stefan
authors.initials: S
authors.lastname: Rammelt
mesh_terms: D018409:Foot Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D017759:Fractures, Malunited / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D010027:Osteotomy; D011859:Radiography; D013640:Tarsal Joints / Q000033:anatomy & histology / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*
keywords: Chopart joint; Correction; Malunion; Midtarsal joint; Nonunion; Osteotomy