{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T11:29:29Z","timestamp":1782818969234,"version":"3.54.5"},"reference-count":68,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2010,10,1]],"date-time":"2010-10-01T00:00:00Z","timestamp":1285891200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2010,10]]},"abstract":"<jats:p>Chopart amputations were first performed for treatment of a non-salvageable distal foot but became unfavorable because of the development of equinovarus contractures and ulcerations. The majority of below-knee amputations today occur in ambulatory patients with diabetes in which a Chopart amputation may be a viable option; however, the durability of the residual limb is questionable. The authors undertook a systematic review of electronic databases and other relevant sources to identify material relating to the factors associated with a successful Chopart amputation in ambulatory patients with diabetes. Studies were eligible for inclusion only if they consecutively enrolled ambulatory patients with diabetes who underwent a Chopart amputation, regardless of etiology, with or without any tendinous or osseous balancing performed and had a mean follow-up of \u2265 12 months duration. Four studies involving 74 patients\/feet were identified that met the inclusion criteria with a weighted mean follow-up of 21.1 months. The efficacy of tendinous and\/or osseous balancing could not be assessed because of the lack of comparable techniques. However, review of the included studies supports that a residual functional limb can be maintained for \u2265 12 months with the use of a properly fitting high-profile prosthetic device for lifelong ambulation.<\/jats:p>","DOI":"10.1177\/1938640010379635","type":"journal-article","created":{"date-parts":[[2010,10,21]],"date-time":"2010-10-21T19:12:42Z","timestamp":1287688362000},"page":"278-284","source":"Crossref","is-referenced-by-count":19,"title":["Factors Associated With Successful Chopart Amputation in Patients With Diabetes"],"prefix":"10.1177","volume":"3","author":[{"given":"Valerie L.","family":"Schade","sequence":"first","affiliation":[{"name":"Limb Preservation Service, Vascular\/Endovascular Surgery Service, Department of Surgery, Madigan Army Medical Center, Tacoma, Washington,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas S.","family":"Roukis","sequence":"additional","affiliation":[{"name":"Limb Preservation Service, Vascular\/Endovascular 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