Ruff Garrett, Iannuzzi Louis, Ross Frank
Helen L. and Martin S. Kimmel Hyperbaric & Advanced Wound Healing Center, NYU Grossman School of Medicine, New York, NY.
Department of Physical Therapy, Helen L. and Martin S. Kimmel Hyperbaric & Advanced Wound Healing Center, NYU Grossman School of Medicine, New York, NY.
J Vasc Surg Cases Innov Tech. 2024 Aug 2;10(6):101589. doi: 10.1016/j.jvscit.2024.101589. eCollection 2024 Dec.
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.
肖帕尔截肢术是一种保留肢体长度的截肢手术,能保留功能,但残端常出现溃疡。我们报告一例68岁男性患者,患有控制不佳的2型糖尿病和外周动脉疾病,接受了左肖帕尔截肢术,术后在肖帕尔残端和足跟出现不愈合溃疡超过1年。开始采用全接触石膏固定,伤口迅速愈合,无需进一步干预。该病例突出了全接触石膏固定在处理肖帕尔截肢术后溃疡方面的有效性,可能预防再次截肢,并将其应用扩展到糖尿病和外周动脉疾病患者复杂的足部解剖结构。