1. 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

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

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

4. Treatment options
Column lengthening?
Fusion?

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

6. 6-month follow-up

7. 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