Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Trauma & Reconstruction
Midfoot Reconstruction of a Neglected Chopart Injury
A neglected midfoot Chopart injury presenting eight months after a road accident, reconstructed by restoring both columns of the foot with structural grafting.
Patient Age
46 Years
MECHANISM
Road traffic accident
PRESENTATION
8 Months Post-Injury
APPROACH
Naviculo-Cuneiform Fusion, Distraction CC Fusion, Structural Grafting
01
Clinical Rationale
A Chopart injury initially managed in plaster collapsed both columns of the foot over eight months. Reconstruction required opening the medial and lateral sides simultaneously and restoring lost lateral column length with a structural iliac crest graft.
02
Surgical Approach
Reconstruction restored the medial and lateral column lengths through a naviculo-cuneiform fusion combined with a distraction calcaneocuboid fusion, using a structural iliac crest graft to re-establish lateral column length.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
Injured Chopart joints need bilateral weight-bearing X-rays to assess both column lengths.
#2
Such a reconstruction needs simultaneous opening of both the medial and lateral sides.
#3
Distraction of the calcaneocuboid joint with a structural iliac crest graft is mandatory.
#4
Restoring the medial and lateral column lengths is the goal of the reconstruction.
04
Clinical Care Points
RIGHT SIDE
- i) Bilateral weight-bearing X-ray assessment
ii) Naviculo-cuneiform fusion
iii) Distraction calcaneocuboid fusion
iv) Structural iliac crest graft for length
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
Midfoot Reconstruction of a Neglected Chopart Injury
A neglected midfoot Chopart injury presenting eight months after a road accident, reconstructed by restoring both columns of the foot with structural grafting.
A 46-year-old man sustained a major midfoot injury in a road-traffic accident, producing severe swelling and an inability to bear weight. The injury was initially treated in a below-knee plaster, with follow-up radiographs taken through the cast. Eight months later, he presented with persistent pain, swelling and substantial difficulty using the affected foot.
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