Mustapha N M, McCard F, Brand A T
Prosthet Orthot Int. 1980 Dec;4(3):156-8. doi: 10.3109/03093648009164589.
Disarticulation between the proximal talus and calcaneous, and the distal navicular and cuboid (Chopart's disarticulation) was probably first performed in Britain by Syme in Edinburgh in 1829. Although initially successful, it fell into disrepute because of equinus deformity that developed as a result of the unopposed action of the soleus-gastrocnemius muscles and tendoachilles on the os calcis. Callosities and corns developed on the anterior aspect of the skin flap. These could become rather painful and troublesome at times. Nevertheless, it is an operation that is performed occasionally, and has a place in the range of conservative distal amputations of the lower limb. Whatever the views of the prosthetic team, they may be faced with a surgical "fait accompli" for which they have to provide a suitable prosthesis. There are various prostheses available but we describe a prosthesis required to fulfil a cosmetic, functional and combined end-bearing and patellar-bearing need.
距骨近端与跟骨、舟骨远端与骰骨之间的关节离断术（Chopart关节离断术）可能于1829年由西姆在爱丁堡首次在英国实施。尽管最初手术成功，但由于比目鱼肌-腓肠肌和跟腱对跟骨的无对抗作用导致马蹄足畸形，该手术声名狼藉。皮瓣前侧出现胼胝和鸡眼。这些有时会变得相当疼痛且令人烦恼。然而，这是一种偶尔会实施的手术，在下肢保守性远端截肢范围内占有一席之地。无论假肢团队持何种观点，他们可能会面临一种既成的手术事实，必须为此提供合适的假肢。有多种假肢可供选择，但我们描述一种满足美观、功能以及兼具端部承重和髌部承重需求的假肢。
