Case for small group discussion Midfoot injury Case for small group discussion Chopart reconstruction AOTrauma—Foot & Ankle Module 13: Midfoot Stefan Rammelt and Hans Zwipp, DE

Case description 45-year-old man 1 year after motor vehicle accident Persistent pain

Case description 45-year-old man 1 year after motor vehicle accident Persistent pain

Treatment options Column lengthening? Fusion?

Intraoperative images Talonavicular joint fusion Lengthening osteotomy of the cuboid with salvage of the calcaneocuboid joint

6-month follow-up

Take-home messages Restore column length Restrict fusion to arthritic joints Be aware that initial appropriate management prevents complications, maintains normal foot shape, and leads to improved outcomes