1. Case for small group discussion
Midfoot injury
Case for small group discussion
AOTrauma—Foot & Ankle
Module 4b: Midfoot trauma—Chopart, navicular fractures
Michael Swords, US

2. Case description 16-year-old man Foot injured in farm equipment
Otherwise healthy

3. Open wound

4. Initial treatment options?

5. Emergency management
External fixator, irrigation, and debridement

6. CT scan—loss of anterior process

7. External fixation
Bicolumnar external fixator to restore column length with antibiotic spacer to fill bone void

8. Postoperative x-rays
Delayed calcaneocuboid arthrodesis with reamer/irrigator/aspirator (RIA) system from ipsilateral femur

9. 2-year follow-up

10. Take-home messages Restore column length with external fixation
Delayed bone graft due to open injury
Stable fixation