Chronic Сhopart's joint dislocation and its treatment with the Ilizarov external fixator: a case report and literature review

Автор: Barawi Omer A.R., Raoof Soran S., Muhsin Abd Ali

Журнал: Гений ортопедии @geniy-ortopedii

Рубрика: Случай из практики

Статья в выпуске: 2, 2020 года.

Бесплатный доступ

Background Chronic Chopart dislocation is one of the causes of acquired painful flat foot, which is treated by midtarsal arthrodesis causing limitation of movement and smaller-sized foot. Gradual reduction based on the principles of аrthrodiastasis using the Ilizarov external fixator is used for treating chronic Chopart dislocation. The case and method Twenty-two year-old male presented with painful right flat foot fourteen months after a motor vehicle accident. Gradual reduction was used for the chronically dislocated Chopart’s joint by arthrodiastasis using the Ilizarov external fixator. Result The follow-up result after four years is presented. The longitudinal arch of the foot recovered and the foot is painless with full range of movements; the size of the foot is preserved. Conclusion Treatment of chronic Chopart dislocation by arthrodiastasis using the Ilizarov external fixator is a preferred method of treatment as the size of the foot will be preserved , movement of the joint will not be restricted, the joint will be painless. There is no need for thromboprophylaxis, no chance of compartment syndrome and less operation time in comparison to arthrodesis.

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Chronic chopart dislocation, chopart's joint, arthrodiastasis, acquired flat foot

Короткий адрес: https://readera.org/142226245

IDR: 142226245   |   DOI: 10.18019/1028-4427-2020-26-2-244-247

Список литературы Chronic Сhopart's joint dislocation and its treatment with the Ilizarov external fixator: a case report and literature review

  • Klaue K. Treatment of Chopart Fracture-Dislocations. Eur. J. Trauma Emerg. Surg., 2010, vol. 36, no. 3, pp. 191-195. DOI: 10.1007/s00068-010-1047-0
  • Khan A.P., Raffic M. Chopart's Fracture-dislocation - rare Cases Management. Kerala Journal of Orthopedics, 2018, vol. 31, no. 1, pp. 31-34.
  • Kadakia A.R., Ho B.S., Molloy A. A New Technique of Treatment of Fracture-Subluxation of Chopart Joint. Techniques in Foot & Ankle Surgery, 2013, vol. 12, no. 4, pp. 201-209. DOI: 10.1097/BTF.0b013e3182a001e0
  • Van Dorp K.B., de Vries M.R., van der Elst M., Schepers T. Chopart joint injury: a study of outcome and morbidity. J. Foot Ankle Surg., 2010, vol.49, no. 6, pp. 541-545. DOI: 10.1053/j.jfas.2010.08.005
  • Rammelt S., Schepers T. Chopart Injuries: When to Fix and When to Fuse? Foot Ankle Clin., 2017, vol. 22, no. 1, pp. 163-180. DOI: 10.1016/j.fcl.2016.09.011
  • Kale D.R., Khadabadi N.A., Putti B.B., Jatti R.S. One Month Old Neglected Lisfrancs Fracture Dislocation Treated with Wagner's External Fixator and Percutaneous Screw Fixation: A case report. J. Orthop. Case Rep., 2014, vol. 4, no. 2, pp. 42-46.
  • DOI: 10.13107/jocr.2250-0685.166
  • Blom A., Warwick D., Whitehouse M. Apley and Solomon's System of Orthopaedics and Trauma. Tenth Edition. CRC Press, 2017, pp.958-960.
  • Mansour A., Fallat L. Temporary bridge plating of the medial column in Chopart and Lisfranc injuries. The Foot and Ankle online Journal, 2017, vol. 10, no. 1, p. 5.
  • DOI: 10.3827/faoj.2017.1001.0005
  • Tse M. S.-H., Woo S.-B. Temporary Bridging of Severe Medial Column Injury of the Foot using Internal Fixation. Journal of Orthopaedics,Trauma and Rehabilitation, 2014, vol. 18, no. 2, pp. 120-123.
  • DOI: 10.1016/j.jotr.2013.09.001
  • Chiodo C.P., McGarvey W. Joint distraction for the treatment of ankle osteoarthritis. Foot Ankle Clin., 2004, vol. 9, no. 3, pp. 541-553.
  • DOI: 10.1016/j.fcl.2004.05.007
  • Richter M., Thermann H., Huefner T., Schmidt U., Goesling T., Krettek C. Chopart joint fracture-dislocation: initial open reduction provides better outcome than closed reduction. Foot Ankle Int., 2004, vol. 25, no. 5, pp. 340-348.
  • DOI: 10.1177/107110070402500512
  • Ramlee M.H., Derus AA. The use of external fixator for ankle and foot injuries management - a review on biomechanical perspective. Med. Dev. Diagn. Eng., 2016, vol. 1, no. 1, pp. 5-10.
  • DOI: 10.15761/MDDE.1000102
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