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

Garrett RuffLouis IannuzziFrank Ross
Published in: Journal of vascular surgery cases and innovative techniques (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.
Keyphrases
  • lower limb
  • peripheral artery disease
  • wound healing
  • case report
  • type diabetes
  • systematic review
  • physical activity
  • cardiovascular disease
  • adipose tissue