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

J Vasc Surg Cases Innov Tech. 2024 Aug 2;10(6):101589. doi: 10.1016/j.jvscit.2024.101589. eCollection 2024 Dec.

Abstract

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.

Keywords: Post-amputation ulceration; Total contact casting; Wound healing.

Publication types

  • Case Reports