Chopart amputation with tibiotalocalcaneal arthrodesis and free flap reconstruction for severe foot crush injury

Y. C. Chiu, T. C. Chung, C. H. Wu, K. L. Tsai, I. M. Jou, Y. K. Tu, C. H. Ma

研究成果: Article

摘要

Aims This study reports the outcomes of a technique of soft-tissue coverage and Chopart amputation for severe crush injuries of the forefoot. Patients and Methods Between January 2012 to December 2016, 12 patients (nine male; three female, mean age 38.58 years; 26 to 55) with severe foot crush injury underwent treatment in our institute. All patients were followed-up for at least one year. Their medical records, imaging, visual analogue scale score, walking ability, complications, and functional outcomes one year postoperatively based on the American Orthopedic Foot and Ankle Society (AOFAS) and 36-Item Short-Form Health Survey (SF-36) scores were reviewed. Results The mean length of follow-up was 18.6 months (13 to 28). Two patients had a local infection, flap necrosis was seen in one patient, and one patient experienced a skin graft wound healing delay. Of the 12 patients, one had persistent infection and eventually required below-knee amputation, but pain-free walking was achieved in all the other patients. The mean one-year postoperative AOFAS and SF-36 scores were 75.6 (68 to 80) and 82 (74 to 88), respectively. Conclusion Although our sample size was small, we believe that this treatment method may be a valuable alternative for treating severe foot crush injuries.

原文English
頁(從 - 到)1359-1363
頁數5
期刊Bone and Joint Journal
100B
發行號10
DOIs
出版狀態Published - 2018 十月

指紋

Foot Injuries
Free Tissue Flaps
Arthrodesis
Amputation
Ankle
Walking
Orthopedics
Foot
Crush Injuries
Diagnostic Imaging
Infection
Health Surveys
Visual Analog Scale
Sample Size
Wound Healing
Medical Records
Knee
Necrosis
Outcome Assessment (Health Care)
Transplants

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

引用此文

Chiu, Y. C. ; Chung, T. C. ; Wu, C. H. ; Tsai, K. L. ; Jou, I. M. ; Tu, Y. K. ; Ma, C. H. / Chopart amputation with tibiotalocalcaneal arthrodesis and free flap reconstruction for severe foot crush injury. 於: Bone and Joint Journal. 2018 ; 卷 100B, 編號 10. 頁 1359-1363.
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Chopart amputation with tibiotalocalcaneal arthrodesis and free flap reconstruction for severe foot crush injury. / Chiu, Y. C.; Chung, T. C.; Wu, C. H.; Tsai, K. L.; Jou, I. M.; Tu, Y. K.; Ma, C. H.

於: Bone and Joint Journal, 卷 100B, 編號 10, 10.2018, p. 1359-1363.

研究成果: Article

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AU - Chiu, Y. C.

AU - Chung, T. C.

AU - Wu, C. H.

AU - Tsai, K. L.

AU - Jou, I. M.

AU - Tu, Y. K.

AU - Ma, C. H.

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N2 - Aims This study reports the outcomes of a technique of soft-tissue coverage and Chopart amputation for severe crush injuries of the forefoot. Patients and Methods Between January 2012 to December 2016, 12 patients (nine male; three female, mean age 38.58 years; 26 to 55) with severe foot crush injury underwent treatment in our institute. All patients were followed-up for at least one year. Their medical records, imaging, visual analogue scale score, walking ability, complications, and functional outcomes one year postoperatively based on the American Orthopedic Foot and Ankle Society (AOFAS) and 36-Item Short-Form Health Survey (SF-36) scores were reviewed. Results The mean length of follow-up was 18.6 months (13 to 28). Two patients had a local infection, flap necrosis was seen in one patient, and one patient experienced a skin graft wound healing delay. Of the 12 patients, one had persistent infection and eventually required below-knee amputation, but pain-free walking was achieved in all the other patients. The mean one-year postoperative AOFAS and SF-36 scores were 75.6 (68 to 80) and 82 (74 to 88), respectively. Conclusion Although our sample size was small, we believe that this treatment method may be a valuable alternative for treating severe foot crush injuries.

AB - Aims This study reports the outcomes of a technique of soft-tissue coverage and Chopart amputation for severe crush injuries of the forefoot. Patients and Methods Between January 2012 to December 2016, 12 patients (nine male; three female, mean age 38.58 years; 26 to 55) with severe foot crush injury underwent treatment in our institute. All patients were followed-up for at least one year. Their medical records, imaging, visual analogue scale score, walking ability, complications, and functional outcomes one year postoperatively based on the American Orthopedic Foot and Ankle Society (AOFAS) and 36-Item Short-Form Health Survey (SF-36) scores were reviewed. Results The mean length of follow-up was 18.6 months (13 to 28). Two patients had a local infection, flap necrosis was seen in one patient, and one patient experienced a skin graft wound healing delay. Of the 12 patients, one had persistent infection and eventually required below-knee amputation, but pain-free walking was achieved in all the other patients. The mean one-year postoperative AOFAS and SF-36 scores were 75.6 (68 to 80) and 82 (74 to 88), respectively. Conclusion Although our sample size was small, we believe that this treatment method may be a valuable alternative for treating severe foot crush injuries.

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