Chopart’s Fracture-dislocation – rare Cases Management
Vol 31 | Issue 1 | Jan – Jun 2018 | page: 31-34 | Anvar Khan, M Raffic.
Authors: Anvar P Khan , M Raffic 
 Department of Orthopaedics, Sree Gokulam Medical College, Venjaramoodu, Kerala, India.
Address of Correspondence
Dr. Anvar P Khan,
Department of Orthopaedics,
Sree Gokulam Medical College and Research Foundation,
Venjaramoodu, Trivandrum. India.
Introduction: Among the uncommon midfoot injuries, Chopart fracture-dislocations are the most severe injuries and the most difficult foot injuries to diagnose and manage . We are presenting clinical and radiological data and the outcome of two rare cases of Chopart fracture dislocation. Two adult males who sustained Chopart’s fracture dislocation were treated by open reduction and internal fixation with k-wires under anesthesia on an emergency basis. K-wires removed after 3 weeks and patients were mobilized after 6 weeks and returned to their work by 10th post-operative week. We recommend adequate evaluation on initial presentation and early accurate diagnosis and emergency management of Chopart’s  injuries, because missed or delayed diagnosis and treatment are associated with significant long-term morbidity.
Keywords: Calcaneocuboid, Chopart, dislocation, foot, fracture, midtarsal, reduction, Talonavicular.
1. Wolf JH. Francois Chopart (1743-1795)- inventor of the partial foot amputation at the tarsometatarsal articulation. Orthop Tarumatol 12:341-344, 2000.
2. 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 May;25(5):340–8.
3. Dorp KB van, Vries MR de, Elst M van der, Schepers T. Chopart Joint Injury: A Study of Outcome and Morbidity. J Foot Ankle Surg [Internet]. 2010 Nov 1 [cited 2018 Mar 1 7 ] ; 4 9 ( 6 ) : 5 4 1 – 5 . A v a i l a b l e f r o m : http://www.jfas.org/article/S1067-2516(10)002942/abstract
4. Canale ST, Beaty JH. Campbell’s Operative Orthopaedics EBook. Elsevier Health Sciences; 2012. 5105 p.
5. Bucholz RW. Rockwood and Green’s Fractures in Adults: Two Volumes Plus Integrated Content Website (Rockwood, Green, and Wilkins’ Fractures). Lippincott Williams & Wilkins; 2012. 2059 p.
6. Eastaugh-Waring SJ, Saleh M. The management of a complex midfoot fracture with circular external fixation. Injury. 1994 Jan;25(1):61–3.
7. Benirschke SK, Meinberg E, Anderson SA, Jones CB, Cole PA. Fractures and dislocations of the midfoot: Lisfranc and Chopart injuries. J Bone Joint Surg Am. 2012 Jul 18;94(14):1325–37.
8. Ramadorai MUE, Beuchel MW, Sangeorzan BJ. Fractures and Dislocations of the Tarsal Navicular. JAAOS – J Am Acad Orthop Surg [Internet]. 2016 Jun [cited 2018 Mar 1 7 ] ; 2 4 ( 6 ) : 3 7 9 . A v a i l a b l e f r o m : https://journals.lww.com/jaaos/Abstract/2016/06000/Fractures_and_Dislocations_of_the_Tarsal_Navicular.7.aspx
9. Main BJ, Jowett RL. Injuries of the midtarsal joint. J Bone Joint Surg Br. 1975 Feb;57(1):89–97.
10. Swords MP, Schramski M, Switzer K, Nemec S. Chopart Fractures and Dislocations. Foot Ankle Clin [Internet]. 2008 Dec 1 [cited 2018 Mar 17];13(4):679–93. Available from: http://www.foot.theclinics.com/article/S10837515(08)00068-5/abstract
11. Choi JC, Jung Y-H, Park SJ. Fracture and Dislocation of the Midtarsal Joint: A Case Report. J Korean Foot Ankle Soc [Internet]. 2017;21(3):108. Available from: https://synapse.koreamed.org/DOIx.php?id=10.14193/jkf as.2017.21.3.108.
12. Miller CM, Winter WG, Bucknell AL, Jonassen EA. Injuries to the midtarsal joint and lesser tarsal bones. J Am Acad Orthop Surg. 1998;6(4):249-258
13. Klaue K. Chopart fractures. Injury 35(suppl 2):SB64-SB70, 2004.
|How to Cite this Article: Khan A P, Raffic M. Chopart’s Fracture-dislocation – rare Cases Management. Kerala Journal of Orthopaedics Jan- Jun 2018;31(1):31-34.
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