Prosthetic restoration of the forefoot lever after Chopart amputation and its consequences onto the limb during gait

Kaib, T.; Block, Julia; Heitzmann, Daniel; Putz, Cornelia; Alimusaj, Merkur; Wolf, Sebastian I.

doi:10.1016/j.gaitpost.2019.06.024

Cited by 5 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 Orthotic and prosthetic devices provide the necessary base of support to restore biomechanical leverage, helping to improve standing and walking while relieving pressure at the distal end of the stump. 11 Undergoing an amputation is a stressful experience for most patients. Following Chopart surgery, patients have to minimize the load on the surgical wound to foster the healing process until the application of a definitive prosthesis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness, Safety, and Acceptance of an Interim Orthosis in Patients with Diabetes in the Immediate Postoperative Chopart Surgery

Balduzzi¹,

Giglio²,

Masserini³

et al. 2021

The International Journal of Lower Extremity Wounds

View full text Add to dashboard Cite

Chopart amputation is the consequence of severe diabetes-related foot complications. A new interim orthosis allowing the patient a greater degree of mobility after Chopart surgery than currently used systems is now available. The aim of this study was to evaluate the effectiveness of the new orthosis compared with traditional treatment. Safety and level of patient acceptance of the device were also investigated. We performed a retrospective case–control observational study involving people with diabetes who underwent Chopart amputation between January 2016 and January 2018. The sample of subjects treated with the innovative orthosis was compared with consecutive patients, who were treated with traditional management. The main study outcomes include major amputation occurrence, ulcer recurrence, healing time, and patient acceptance of the orthosis. Patient satisfaction was evaluated using the Italian validated version of the Orthotic Prosthetic User's Survey (OPUS) questionnaire. Overall, 27 subjects were enrolled using the new device (mean age 68.7 ± 8.4 years, 70.4% males, mean diabetes duration 22.7 ± 15 years). Clinical baseline characteristics were comparable between the cases and the controls. There was no difference between the groups in the healed wound rate (81.5% vs 80.0% for cases and the control group, respectively, P = .53). The ulcer recurrence rate was higher in the control group compared with subjects using the new orthosis (62.5% vs 24.0%, respectively, P = .04). The use of the innovative orthosis was associated with an 81% lower probability to have ulcer recurrence (odds ratio 0.19, 95% confidence interval 0.04-1.04). No between groups difference was detected for a major amputation rate. The wound healing time was faster for cases compared with controls (160.4 ± 114.1 vs 256.5 ± 112.9 days, P = .05). No adverse events related to the use of the new orthosis were recorded. Patient acceptance of the new orthosis was high. This orthosis can be recommended as an efficient, safe, and well-accepted device after Chopart amputation.

show abstract

Section: Introductionmentioning

confidence: 99%

“…Orthotic and prosthetic devices provide the necessary base of support to restore biomechanical leverage, helping to improve standing and walking while relieving pressure at the distal end of the stump. 11…”

Section: Introductionmentioning

confidence: 99%